Get Caregivers Authorization Baffidavitb - West Contra Costa Unified

Filling out the Caregivers Authorization Affidavit is an important step for caregivers wishing to authorize enrollment of a minor in school and related medical care. This guide provides clear instructions to help users complete the form accurately and efficiently online.

Follow the steps to fill out the Caregivers Authorization Affidavit online

1. Press the ‘Get Form’ button to access the affidavit and open it in your preferred document editor.
2. Complete items 1 through 4. Clearly provide the name of the minor, their birth date, your own name (as the adult giving authorization), and your home address.
3. For item 5, check the appropriate box indicating your relationship to the minor, such as grandparent or other qualified relative.
4. In item 6, choose one or both options to indicate whether you have contacted the minor's parent(s) or legal guardian(s) about your intent to authorize medical care.
5. Fill in your date of birth in item 7.
6. Provide your California Driver’s License or Identification Card number in item 8. If you do not have this information, include an alternative form of identification.
7. Review all entries to ensure accuracy. Once completed, digitally sign and date the affidavit at the bottom.
8. Save your changes and choose to download, print, or share the completed affidavit as needed.

Complete your Caregivers Authorization Affidavit online today to ensure essential medical and educational support for the minor.