If you’re going to leave your child in the care of another adult, you should give that person permission to authorize medical care and make other important decisions on your child’s behalf.  This includes school-related decisions such as permission for a field trip, or who can pick up your child if he or she becomes ill. 

Use this form to establish a temporary “informal guardianship,” which is different from a formal, court-approved guardianship. 

Important to Know:

• While this form will give an adult permission to authorize medical treatment to your child, you should consider using "Authorization for Minor's Medical Treatment" as well, because it lets you cover your child's medical needs and history in depth.

This form contains a space for the acknowledgment of a notary public.  Practically speaking, a notarized form is likely to be more readily accepted by others, but notarization isn’t always necessary.

Operating system: Windows- and Macintosh-compatible. The computer you use to purchase an eForm must be the same computer you will download it to. (For example, don't purchase the eForm using your computer at work if you intend to download it later on to your home computer; instead, wait until you're on the computer you intend to download the eForm to and then make your purchase. After you've downloaded the file, you will be able to "transfer" it to another computer by copying it to external media or by email.) In addition, you will not be able to download this file if:

• cookies are disabled on your computer, or
• a firewall prevents you from downloading files from the Internet.

Software: Before you can use an eForm, additional software must be installed:
To expand the ZIP archive you download after making your purchase, you'll need:

• A decompression utility such as the following, both of which can be downloaded for free:

• 7-Zip (http://www.7-zip.org) (for Windows users).
• StuffIt Expander (http://my.smithmicro.com/mac/stuffit/expander.html) (for Macintosh). Please note: Many recently manufactured Macs have a native capability to decompress zip files. See your computer's user manual for verification of this and instructions for access.

To open, fill out and print an eForm, you need a word processor that "reads" RTF (rich text format) files:

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