Caregiver affidavit california 2026

The California Caregiver’s Authorization Affidavit allows an adult caregiver to enroll a minor in school and authorize medical care on their behalf. The affidavit requires the caregiver to provide personal information and confirm their relationship to the minor, as well as notify the minor's parents or legal guardians of their intent. It clarifies that this document does not grant legal custody to the caregiver and outlines responsibilities for notifying relevant parties if the minor no longer resides with them.

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Click ‘Get Form’ to open the caregiver affidavit in the editor.
Begin by filling in the name of the minor in the first field. Ensure that you print clearly for accuracy.
Next, enter the minor’s birth date in the designated section. This information is crucial for identification purposes.
In the following field, provide your name as the adult giving authorization. This confirms your role as a caregiver.
Fill out your home address accurately to establish residency and contact information.
Indicate your relationship to the minor by checking the appropriate box in item 5. If applicable, refer to the back of the form for definitions of 'qualified relative.'
Complete items 6 through 8 based on your communication with legal guardians and provide your date of birth and California ID number.
Finally, review all entries for correctness before signing and dating the affidavit at the bottom.

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