Last updated: 5/30/2015
Cargivers Authorization Affidavit {FL09069}
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Description
FL09069 - CAREGIVER'S AUTHORIZATION AFFIDAVIT. This is a Yuba County Superior Court informational form authorized under California Family Code §§ 6550–6552. This affidavit allows a caregiver who is at least 18 years old and with whom a minor resides to authorize school enrollment and school-related medical care by completing items 1–4. If the caregiver is a qualified relative (such as a grandparent, aunt, or uncle) and completes items 1–8, the affidavit also authorizes broader medical and dental care similar to a legal guardian’s authority under Probate Code § 2353. The affidavit is not filed with the court and does not grant legal custody. It must be signed under penalty of perjury. The form includes statutory notices to caregivers, schools, and healthcare providers. www.FormsWorkflow.com





