Transcription of Caregiver's Authorization Affidavit
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Caregiver's Authorization Affidavit
COURT. COUNTY OF. To keep other people from seeing what you entered on your form, please .. press ..the ..Clear ..This .. Form ..button .. at ..the . end of the form when finished. : Index No. : Caregiver's Authorization Affidavit Calendar No. : Use of this Affidavit is authorized by Part (commencing Plaintiff(s) JUDICIAL with Section 6550) of SUBPOENA. Division 11 -against- of the California Family Code. : Instructions: Completion of items 1 - 4 and : the signing of the Affidavit is sufficient to authorize enrollment of a minor in school and authorize school- related medical care. Completion of items :5-8 is additionally required to authorize any other medical care. Print clearly. Defendant(s). : .. The minor named below lives in my home and I am 18 years of age or older. 1. Name of minor: _____. THE PEOPLE OF THE STATE OF NEW YORK. 2. Minor's birth date: _____.
Caregiver's Authorization Affidavit Use of this affidavit is authorized by Part 1.5 (commencing with Section 6550) of Division 11 of the California Family Code.
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