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KINSHIP CARE AUTHORIZATION FOR MINOR PATIENT Declaration of Relative / Kinship Responsibility for a Minor Patient's Health Impatient Name (Print)Patient Date of Birth (mm/dd/YYY)DECLARATION I am 18
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How to fill out kinship care authorization for

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How to fill out kinship care authorization for

01
Obtain a copy of the kinship care authorization form from your local child welfare agency or online.
02
Read the instructions carefully to understand the requirements and gather the necessary information.
03
Provide your personal information, including your name, contact details, and relationship to the child.
04
Fill out the child's information, including their name, date of birth, and any relevant identification numbers.
05
Specify the duration of the authorization, indicating the start and end dates of the care arrangement.
06
List any additional caregivers who may also be authorized to care for the child during the specified period.
07
Sign and date the form, acknowledging your understanding of the responsibilities and legal implications.
08
Submit the completed form to the appropriate child welfare agency or designated authority for review and approval.
09
Keep a copy of the filled-out form for your records and provide copies to other authorized caregivers, if applicable.
10
Follow any additional instructions provided by the agency and be prepared to provide any necessary supporting documents.

Who needs kinship care authorization for?

01
Kinship care authorization is typically required for individuals or families who temporarily assume the responsibility of caring for a child who is not their biological or adopted child.
02
This can include relatives such as grandparents, aunts, uncles, siblings, or close family friends.
03
The need for kinship care authorization may arise in various situations, such as when the child's parents are unable to provide care due to illness, incarceration, or other circumstances.
04
It is important to consult with your local child welfare agency or legal authority to determine the specific requirements and regulations regarding kinship care authorization in your jurisdiction.
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Kinship care authorization is for allowing a relative or close family friend to care for a child when the child's parents are unable to do so.
The child's relative or close family friend who will be caring for the child is required to file kinship care authorization.
Kinship care authorization can be filled out by providing detailed information about the child, the caregiver, and the reason for the child's placement.
The purpose of kinship care authorization is to ensure that the child is placed in a safe and supportive environment with a caregiver who has a close relationship with the child.
Kinship care authorization must include information about the child's current living situation, the caregiver's relationship to the child, and any relevant background information.
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