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Lawrence Public Schools Consent for Disclosure Sharing Information with Other Programs Dear Parent/Guardian: You do not have to sign or send in this form to get reduced price or free Child Nutrition

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How to fill out caregiver authorization affidavit

01

Obtain the caregiver authorization affidavit form.

02

Fill in the child's information, such as their name, date of birth, and address.

03

Provide your information as the caregiver, including your name, address, and relationship to the child.

04

Sign and date the form in front of a notary public to have it notarized.

05

If required, have the child's parent or legal guardian sign the form as well.

06

Make copies of the completed form for your records.

Who needs caregiver authorization affidavit?

01

Caregiver authorization affidavit is typically needed by individuals who are taking care of a child in the absence of their parent or legal guardian.

02

This could include relatives, family friends, or babysitters who need to make decisions for the child in the parent's absence.

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What is caregiver authorization affidavit?

Caregiver authorization affidavit is a legal document that allows a designated caregiver to make decisions on behalf of a minor child.

Who is required to file caregiver authorization affidavit?

Parents or legal guardians who need to designate a caregiver for their child when they are unable to care for them.

How to fill out caregiver authorization affidavit?

Caregiver authorization affidavit can be filled out by providing details of the child, caregiver, duration of authorization, and signatures of all parties involved.

What is the purpose of caregiver authorization affidavit?

The purpose of caregiver authorization affidavit is to ensure that there is a designated caregiver who can make decisions for a child in the absence of the parents or legal guardians.

What information must be reported on caregiver authorization affidavit?

The caregiver authorization affidavit must include the child's information, caregiver's information, duration of authorization, reason for the need of a caregiver, and signatures of all parties involved.

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