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Get the free PARENT OR AUTHORIZED REPRESENTATIVE SIGNATURE

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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISIONIDENTIFICATION AND EMERGENCY INFORMATION CHILD CARE CENTERS/FAMILY CHILD
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A parent or authorized representative is an individual who has the legal authority to act on behalf of a child or other individual in matters related to filing documents, making decisions, or managing affairs.
Parents or authorized representatives are required to file in situations where a minor or incapacitated person is involved and cannot file themselves, such as tax returns or legal documents.
To fill out the parent or authorized representative form, you need to provide your personal information, the information of the individual you represent, and any relevant documentation proving your authority to act on their behalf.
The purpose of a parent or authorized representative is to ensure that the rights and responsibilities of minors or incapacitated individuals are properly handled and that their needs are met legally and financially.
The information that must be reported includes the name and address of the parent or authorized representative, their relationship to the individual, and any relevant identification numbers such as Social Security or Tax ID numbers.
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