US-00468BG free printable template
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International Travel Consent for a Minor with Affidavit and Authorization for Minor to Receive Medical Treatment I First Middle Last Name of Parent hereby authorize my minor child First Middle Last Name to travel out of the United States from date to date traveling to the country of under the custody of minor child to receive any necessary medical treatment while traveling in the custody of the above mentioned person. Parent s Signature STATE OF COUNTY OF UNITED STATES OF AMERICA Personally...appeared before me the undersigned authority in and for the jurisdiction aforesaid the within-named who being by me first duly sworn according to law states on oath that the contents of the above and foregoing Medical Treatment are true and correct as therein stated and set forth. Signature of Parent SWORN TO AND SUBSCRIBED Before Me on this the day of 20. Notary Public My Commission Expires.
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What is US-00468BG
US-00468BG is a standardized form used for reporting specific data to regulatory authorities.
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