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1. Date and Location: Current date and place where the letter is being executed
2. Parent/Legal Guardian Information: Full legal name, address, and contact information of the parent(s) or current legal guardian(s)
3. Child Information: Full legal name, date of birth, and current address of the child
4. Caregiver Information: Full legal name, address, and contact information of the designated caregiver
5. Authorization Statement: Clear statement of the authority being granted to the caregiver
6. Duration of Authorization: Specific timeframe for which the authorization is valid
7. Powers Granted: Detailed list of specific powers being granted to the caregiver (e.g., medical decisions, educational decisions)
8. Emergency Contact Information: List of emergency contacts including parents and alternative contacts
9. Signatures: Signature lines for parent(s)/guardian(s) with dates
1. Medical Conditions: Details of any medical conditions, allergies, or medications if the child has specific health needs
2. Travel Authorization: Specific permission for domestic or international travel if needed
3. School Authorization: Specific permissions related to school decisions and activities if needed
4. Religious Preferences: Any religious considerations or restrictions if relevant
5. Insurance Information: Health insurance details if applicable
6. Revocation Clause: Terms under which the authorization can be revoked before the end date
1. Copy of Child's Birth Certificate: Certified copy of the child's birth certificate to verify identity and parentage
2. Copy of Parents'/Guardians' ID: Copies of government-issued ID of parents/legal guardians
3. Copy of Caregiver's ID: Copy of government-issued ID of the designated caregiver
4. Medical Information Form: Detailed medical information including insurance details, medical history, and current medications if applicable
5. Emergency Contact List: Comprehensive list of emergency contacts with all relevant contact information
Scope of Authority
Duration
Medical Authority
Educational Authority
Emergency Powers
Living Arrangements
Travel Authorization
Religious Considerations
Revocation Rights
Liability and Indemnification
Insurance and Medical Coverage
Contact Information
Witness Requirements
Governing Law
Severability
Healthcare
Education
Childcare Services
Social Services
Legal Services
Medical Facilities
Religious Institutions
Travel and Tourism
Insurance
Legal
Human Resources
Compliance
Child Protection
Family Services
Healthcare Administration
Educational Administration
Social Services
Document Management
Family Lawyer
Healthcare Administrator
School Administrator
Social Worker
Human Resources Manager
Immigration Officer
Child Protection Officer
Legal Compliance Officer
Family Services Coordinator
Childcare Center Director
Medical Practice Manager
Education Consultant
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