This form is used to collect initial intake information for applicants for Older Americans Act caregiver services. The client completes a separate Form H0050 for each absent parent as required in the Texas Works Handbook, A-1122, Parent Profiles for Child Support Referrals.Child's Full Name: Date of Birth: Parent completing this form: Full Name: Physical Address: Telephone Number: Other contact information: Child's other parent:. A parent can sign an "authorization agreement" form to give a nonparent the authority to care for and make decisions for a child. The State of Texas has a free, fillable form for you to fill out if you want to avoid paying unnecessary attorney costs! You'll need some form of qualified legal counsel to help you learn how to get power of attorney for an aging parent in Texas if this is the situation. Organizing financial documents and medical records can help you understand your loved ones eligibility for public health insurance or VA benefits. These forms allow parents, families, and employers to provide the Child Support Division with additional information so we can better serve you. Over 3.1 million people over the age of 65 call Texas home. Parents who have signed a State of Texas.