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1. Affiant Information: Personal information and legal status of the relative caregiver making the affidavit
2. Child Information: Full details of the child(ren) including full legal name, date of birth, and current address
3. Relationship Declaration: Statement of the biological or legal relationship between the caregiver and the child
4. Parent Information: Details of the child's biological or legal parents and their current status/whereabouts
5. Care Arrangement Details: Specific information about the caregiving arrangement, including duration and nature of care
6. Authority Declaration: Statement of the caregiver's authority to make decisions regarding the child's education, healthcare, and general welfare
7. Financial Responsibility: Declaration regarding financial responsibility for the child's care and maintenance
8. Verification and Oath: Formal declaration of truth and accuracy of the stated information under oath
9. Notarization: Space for notary public's signature and seal to authenticate the document
1. Emergency Contact Authorization: Additional emergency contacts and their authority levels, used when multiple backup caregivers are designated
2. Travel Authorization: Specific permission for international or domestic travel with the child, included when regular travel is anticipated
3. Indigenous Status Declaration: Required when the child has Indigenous status, specifying relevant band or community affiliations
4. Temporary Absence Provisions: Included when the arrangement is temporary or has specific time limitations
5. Previous Custody Orders: Required when there are existing court orders affecting the child's custody or care
6. Special Needs Provisions: Included when the child has specific medical, educational, or other special needs requiring particular attention
1. Schedule A - Supporting Documentation: List of attached documents including birth certificates, previous court orders, or other relevant legal documents
2. Schedule B - Medical Information: Child's medical history, current medications, and healthcare providers
3. Schedule C - Education Information: School enrollment details, educational needs, and academic contacts
4. Schedule D - Contact Schedule: Detailed schedule of contact between the child and parents/other family members if applicable
5. Appendix 1 - Background Check Results: Results of caregiver's criminal record and child welfare clearances
6. Appendix 2 - Home Study Report: Assessment of the caregiver's home environment and caregiving capacity if required
Child
Relative Caregiver
Parent
Legal Guardian
Kinship Care
Caregiving Responsibilities
Emergency Contact
Healthcare Provider
Educational Institution
Residence
Legal Custody
Physical Custody
Temporary Absence
Special Needs
Indigenous Status
Band
First Nation
Medical Treatment
Educational Decisions
Financial Support
Support Services
Notary Public
Commissioner of Oaths
Child Protection Services
Jurisdiction
Province of Residence
Alternative Care
Family Member
Extended Family
Care Plan
Welfare
Best Interests of the Child
Authority and Powers
Duration and Termination
Healthcare Authorization
Educational Authorization
Financial Responsibility
Living Arrangements
Travel Authorization
Emergency Powers
Parental Rights
Confidentiality
Information Access
Decision-Making Authority
Indigenous Rights and Culture
Visitation Rights
Communication Protocol
Support Services
Dispute Resolution
Modification and Amendment
Severability
Governing Law
Declaration of Truth
Attestation
Legal Services
Social Services
Healthcare
Education
Child Protection Services
Family Services
Public Administration
Indigenous Services
Non-Profit Organizations
Legal Affairs
Social Services
Child Protection
Family Services
Healthcare Administration
Educational Administration
Document Management
Compliance
Indigenous Relations
Community Outreach
Family Law Attorney
Social Worker
Child Protection Worker
Family Services Coordinator
Healthcare Administrator
School Administrator
Legal Aid Officer
Family Court Judge
Kinship Care Coordinator
Child Welfare Specialist
Indigenous Services Coordinator
Family Support Worker
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