The Caregiver's Authorization Affidavit serves as a crucial legal instrument in Canadian jurisdictions where temporary caregiving arrangements are necessary. This document is typically used when parents or legal guardians need to delegate authority for their child's care, such as during extended work assignments, medical treatments, or other situations where they cannot personally oversee their child's daily needs. The affidavit provides caregivers with the legal standing to make important decisions regarding the child's healthcare, education, and general welfare, while clearly defining the scope and duration of their authority. It includes detailed information about all parties involved, specific authorizations granted, and any special instructions or limitations, all while complying with relevant provincial and federal legislation regarding childcare, healthcare consent, and education access.
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1. Affiant Information: Full legal name and contact information of the caregiver making the affidavit
2. Child Information: Full legal name, date of birth, and current address of the child(ren) covered by the affidavit
3. Parent/Legal Guardian Information: Full legal name and contact information of the child's parents or legal guardians
4. Relationship Declaration: Statement describing the relationship between the caregiver and the child
5. Authority Granted: Detailed description of the powers and responsibilities being authorized to the caregiver
6. Duration of Authorization: Specific timeframe for which the authorization is valid
7. Emergency Contact Information: List of emergency contacts and their relationship to the child
8. Attestation: Sworn statement confirming the truth of all information provided
9. Signature Block: Space for signatures, dates, and notary information
1. Medical Conditions: Section detailing any medical conditions, allergies, or special health needs of the child
2. Educational Requirements: Special educational needs or arrangements that the caregiver needs to be aware of
3. Financial Authorization: Special provisions for handling the child's financial matters, if applicable
4. Travel Authorization: Special provisions for domestic or international travel with the child
5. Religious Preferences: Special religious or cultural considerations that need to be respected
6. Revocation Terms: Specific conditions under which the authorization may be revoked
7. Alternate Caregiver: Designation of a backup caregiver in case of emergency
1. Schedule A - Medical History: Detailed medical history of the child, including vaccinations and previous conditions
2. Schedule B - Insurance Information: Copies of health insurance cards and policy information
3. Schedule C - School Information: Current school enrollment details and academic records
4. Schedule D - Daily Care Instructions: Detailed instructions for daily care routines, medications, etc.
5. Appendix 1 - Supporting Documents: Copies of relevant identification documents, birth certificates, etc.
6. Appendix 2 - Emergency Contacts List: Expanded list of emergency contacts with detailed contact information
7. Appendix 3 - Consent Forms: Additional specific consent forms required by local authorities or institutions
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