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LODI UNIFIED SCHOOL DISTRICT CAREGIVERS AFFIDAVIT Use of this affidavit is authorized by Part 1.5 (commencing with Section 6550) of Division 11 of the California Family Code. Instructions: Completion
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Download the caregivers-affidavit-englishpdf from the Alliance for website.
02
Fill in your personal information including name, address, and contact details.
03
Provide details of the caregiver you are appointing, including their name, relationship to you, and contact information.
04
Sign and date the affidavit in the presence of a notary public or other authorized individual.
05
Make copies of the completed affidavit for your records and for the caregiver.

Who needs caregivers-affidavit-englishpdf - alliance for?

01
Individuals who are seeking to appoint a caregiver to make important decisions on their behalf in the event they are unable to do so.
02
Those who want to ensure their wishes are carried out by a trusted individual in case of incapacitation or illness.
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It is a document required by the Alliance for caregivers to disclose their information and responsibilities.
All caregivers working with the Alliance must file this document.
Caregivers must provide personal information, contact details, and details of their caregiving responsibilities.
The purpose is to ensure that caregivers comply with the regulations and guidelines set by the Alliance.
Information such as name, address, contact details, and caregiving duties must be reported.
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