Agreement Nonparent Relative Caregiver Template Access Agreement Nonparent Relative Caregiver Editor Now

Agreement Nonparent Relative Caregiver Template

The Authorization Agreement for Nonparent Relative or Voluntary Caregiver form is a critical legal document facilitating the delegation of certain parental responsibilities to a nonparent relative or voluntary caregiver, in compliance with Chapter 34 of the Texas Family Code. It outlines the conditions under which a parent can authorize a relative or caregiver to make decisions regarding the child's medical treatments, education, and other significant aspects of their well-being. To safeguard the child's best interests and ensure legal clarity, clicking the button below is the first step in completing this essential form.

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Table of Contents

Navigating through the complexities of caregiving arrangements for a child can be a daunting task, especially for relatives who step in to provide care in the absence or incapacity of parents. Recognizing this, the state of Texas has provided a legal framework through the Authorization Agreement for Nonparent Relative or Voluntary Caregiver form. Established under Chapter 34 of the Texas Family Code, this document outlines a process where a parent can voluntarily authorize a nonparent relative or a voluntary caregiver to make critical decisions for a child's welfare. This includes authorizing medical treatments, enrolling the child in school, and even applying for public benefits on behalf of the child. It's designed to ensure that the child's needs are met without altering the legal rights of the parent, offering a balance between providing necessary care and maintaining parental authority. Within the form, there's an emphasis on clear communication between the parent and the caregiver, including requirements to update each other on changes in contact information promptly. The form also delves into specifics such as the limits of the caregiver's authority, conditions under which the agreement can be terminated, and the legal implications of not following its stipulated conditions. Importantly, it addresses the necessity of mailing the agreement to a non-signing parent under certain conditions, ensuring that all parental rights are considered and respected. This demonstrates the form's thoroughness in protecting the interests of all parties involved, notably the child's wellbeing, while navigating the sensitive dynamics of caregiving by nonparents.

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AUTHORIZATION AGREEMENT FOR NONPARENT RELATIVE OR VOLUNTARY CAREGIVER

August 2011 Page 1 of 4

This authorization agreement is made in conformance with Chapter 34 of the Texas Family Code concerning the following Child:

Child's Full Name:

Date of Birth:

Parent completing this form:

Full Name:

Physical Address:

Telephone Number:

Other contact information:

Child's other parent:

Full Name:

Physical Address:

Telephone Number:

Other contact information:

Parent voluntarily authorizes the following relative or Parental Child Safety Placement voluntary caregiver to make certain decisions regarding the child, as listed on the next page of this authorization agreement.

Name:

Relationship to Child (check one):

Child's Grandparent Child's Adult Sibling Child's Aunt or Uncle

Parental Child Safety Placement Voluntary Caregiver in accordance with Child Protective Services

Physical Address:

Telephone Number:

Other contact information:

PARENT AND RELATIVE OR VOLUNTARY CAREGIVER UNDERSTAND THAT THEY ARE REQUIRED BY LAW TO IMMEDIATELY PROVIDE EACH OTHER WITH INFORMATION REGARDING ANY CHANGE IN THE OTHER PARTY'S ADDRESS OR CONTACT INFORMATION.

AUTHORIZATION AGREEMENT FOR NONPARENT RELATIVE OR VOLUNTARY CAREGIVER

August 2011 Page 2 of 4

Parent authorizes the above named relative or voluntary caregiver to perform the following acts in regard to the child and the relative or voluntary caregiver assumes the responsibility of performing these functions:

(1)To authorize medical, dental, psychological, surgical treatment, and immunization of the child, including executing any consents or authorizations for the release of information as required by law relating to the treatment or immunization;

(2)To obtain and maintain health insurance coverage for the child and automobile insurance coverage for the child, if appropriate;

(3)To enroll the child in a day-care program or public or private preschool, primary or secondary school;

(4)To authorize the child to participate in age-appropriate extracurricular, civic, social, or recreational activities, including athletic activities;

(5)To authorize the child to obtain a learner's permit, driver's license, or state-issued identification card;

(6)To authorize employment of the child; and

(7)To apply for and receive public benefits on behalf of the child.

(8)This authorization agreement does not confer on the relative or voluntary caregiver of the child the right to authorize the performance of an abortion on the child or the administration of emergency contraception to the child

To the best of the parent's and the relative's or voluntary caregiver's knowledge (check if applicable):

This child is not the subject of a current (pre-existing) valid authorization agreement, and no parent, guardian, custodian, licensed child-placing agency or other agency makes any claim to actual physical possession or care, custody or control of the child that is inconsistent with this authorization agreement.

To the best of the parent's and the relative's or voluntary caregiver's knowledge (choose one from below):

THERE IS NO COURT INVOLVEMENT WITH THIS CHILD

All of the following statements must apply:

There is no court order or pending suit affecting the parent-child relationship concerning the child.

There is no pending litigation in any court concerning custody, possession, or placement of the child or access to or visitation with the child.

The court does not have continuing jurisdiction concerning the child.

THIS CHILD HAS BEEN THE SUBJECT OF A COURT ACTION

The court with continuing jurisdiction concerning the child has given written approval for the execution of the authorization agreement accompanied by the following information:

The county in which the court is located;

The number of the court; and

The cause number in which the order was issued or the litigation is pending. Please staple a copy of the court's order to this agreement.

AUTHORIZATION AGREEMENT FOR NONPARENT RELATIVE OR VOLUNTARY CAREGIVER

August 2011 Page 3 of 4

WARNINGS AND DISCLOSURES

This authorization agreement is an important legal document. The parent and the relative or voluntary caregiver must read all of the warnings and disclosures before signing this authorization agreement.

The parent and relative are not required to consult an attorney but are advised to do so.

A parent's rights as a parent may be adversely affected by placing or leaving the parent's child with another person.

This authorization agreement does not confer on the relative or voluntary caregiver the rights of a managing or possessory conservator or legal guardian.

A parent who is a party to this authorization agreement may terminate the authorization agreement and resume custody, possession, care, and control of the child on demand and at any time the parent may request the return of the child.

Failure by the relative or voluntary caregiver to return the child to the parent immediately on request may have criminal and civil consequences.

Under other applicable law, the relative or voluntary caregiver may be liable for certain expenses relating to the child in the relative's or voluntary caregiver's care, but the parent still retains the parental obligation to support the child.

In certain circumstances, this authorization agreement may not be entered into without written permission of the court. Examples of when court permission must be granted include when a court has entered a previous order granting custody or establishing a child support obligation.

This authorization agreement may be terminated by certain court orders affecting the child.

This authorization agreement does not supersede, invalidate, or terminate any prior authorization agreement regarding the child.

This authorization agreement is void if a prior authorization agreement regarding the child is in effect and has not expired or been terminated.

MAILING REQUIREMENTS:

When both parents do not sign the parent authorization agreement, a copy of the agreement MUST be mailed to the non-signing parent, unless that parent is deceased or has had his or her parental rights terminated. This authorization agreement is void unless:

1.The parties mail a copy of this agreement to a non-signing parent not later than the 10th day after the date the authorization agreement is signed, by certified or international registered mail, as applicable, return receipt requested.

2.If the parties do not receive a response from the non-signing parent before the 20th day after the date the copy of the agreement is mailed, the parties must mail a second copy of the agreement by first class mail or international first class mail, as applicable, to the parent not later than the 45th day after the date the authorization agreement is signed.

EXCEPTION TO MAILING REQUIREMENTS:

If a parent who did not sign the authorization agreement does not have court-ordered possession of or access to the child who is the subject of the agreement, the parent who is a party to the agreement does not have to mail a copy of the agreement to the non-signing parent if either of the following circumstances applies:

1.A protective order has been issued against the non-signing parent as provided under Chapter 85 of the Texas Family Code or under a similar law of another state for committing an act of family violence (as defined by Section 71.004 of the Texas Family Code) against the parent

AUTHORIZATION AGREEMENT FOR NONPARENT RELATIVE OR VOLUNTARY CAREGIVER

August 2011 Page 4 of 4

who signed the agreement or any child of the parent who signed the agreement; or

2.The non-signing parent has been convicted of any of the following criminal offenses against the parent who signed the agreement or any child of the parent who signed the agreement: O any offense under Title 5 of the Texas Penal Code (including murder, homicide,

kidnapping, assault and sexual assault); or

O any other criminal offense in Texas or any other state if the offense involves a violent act or prohibited sexual conduct.

This authorization agreement (select one of the following two):

Expires on this date:

OR

Is valid until revoked in writing by either party

In addition, check here if you want the agreement to continue in effect after your death or during any period of incapacity.

Execution of a subsequent authorization agreement does not by itself supersede, invalidate, or terminate a prior authorization agreement.

By signing below, parent and the relative or voluntary caregiver acknowledge that they have each read this authorization agreement carefully, are entering into the authorization agreement voluntarily, and have read and understand all of the Warnings and Disclosures included in this authorization agreement.

_____________________________________

PARENT

Printed name:

SUBSCRIBED AND ACKNOWLEDGED BEFORE ME on this ____ day of _________________, 20____.

_____________________________________

Notary Public in and for the State of TEXAS

_____________________________________

PARENT**

Printed name:

SUBSCRIBED AND ACKNOWLEDGED BEFORE ME on this ____ day of _________________, 20____.

_____________________________________

Notary Public in and for the State of TEXAS

_____________________________________

RELATIVE OR VOLUNTARY CAREGIVER

Printed name:

SUBSCRIBED AND ACKNOWLEDGED BEFORE ME on this ____ day of _________________, 20____.

_____________________________________

Notary Public in and for the State of TEXAS

Form Breakdown

Fact Description
Governing Law This form is governed by Chapter 34 of the Texas Family Code.
Purpose It authorizes a nonparent relative or voluntary caregiver to make certain decisions for the child.
Scope of Authorization The form allows the caregiver to make decisions about medical treatment, education, insurance, employment, and public benefits for the child.
Limitations It does not authorize the caregiver to consent to an abortion or the administration of emergency contraception for the child.
Termination Conditions It has flexible terms for termination, either expiring on a specific date or upon revocation in writing by any party.
Mail Requirements A copy must be mailed to any non-signing parent under specific conditions to ensure legal validity.

Guidelines on Filling in Agreement Nonparent Relative Caregiver

The Authorization Agreement for Nonparent Relative or Voluntary Caregiver form is a legal document that allows a nonparent relative or designated caregiver to assume certain responsibilities for a child. This agreement can be critical for caregivers taking on roles typically reserved for parents, including making educational and medical decisions for the child. It's a form recognized under Chapter 34 of the Texas Family Code. Drafting this agreement accurately is of utmost importance to ensure it's legally binding and effectively communicates the parental consent given to the caregiver. Below are the steps to fill out this form correctly.

  1. Start by entering the date at the top of the form to mark when the agreement is being made.
  2. Fill in the Child's Full Name and Date of Birth under the section concerning the child to whom the form will apply.
  3. Next, input the Parent completing this form section with the parent's Full Name, Physical Address, Telephone Number, and any Other contact information.
  4. Under Child's other parent, provide the Full Name, Physical Address, Telephone Number, and Other contact information if applicable.
  5. In the section that authorizes a relative or voluntary caregiver, write down the Name, Relationship to Child (checking the appropriate box for grandparent, adult sibling, aunt, uncle, or Parental Child Safety Placement Voluntary Caregiver), along with their Physical Address, Telephone Number, and Other contact information.
  6. Mark the correct box under the clause that states to the best of the parent’s and the relative’s or voluntary caregiver's knowledge regarding the child not being the subject of a current (pre-existing) valid authorization agreement or any claims inconsistent with this agreement.
  7. Check the appropriate section to indicate whether THERE IS NO COURT INVOLVEMENT WITH THIS CHILD or if THIS CHILD HAS BEEN THE SUBJECT OF A COURT ACTION, providing necessary court details if the latter is checked.
  8. Understand and agree to the WARNINGS AND DISCLOSURES section. Both parties should be cautious to read through the legal implications noted in this part of the document.
  9. Address the MAILING REQUIREMENTS by ensuring a copy of the agreement is sent to the non-signing parent under the conditions specified, unless an exception applies.
  10. Determine the expiration date of the agreement or note that it is valid until revoked in writing by either party. Additionally, decide if the agreement should continue in effect after the death or during any period of incapacity of the parent.
  11. Both the parent and the relative/voluntary caregiver must sign and print their names at the bottom of the form, which then must be subscribed and acknowledged before a Notary Public on the specified dates.

Completing this form carefully and ensuring all details are accurate before notarization will make the authorization legally valid. It's highly recommended for both parties to keep copies of the notarized form for their records and to understand fully the responsibilities and legal implications this agreement carries.

Learn More on Agreement Nonparent Relative Caregiver

What is the purpose of the Authorization Agreement for Nonparent Relative or Voluntary Caregiver?

The Authorization Agreement for Nonparent Relative or Voluntary Caregiver is designed to legally enable a relative or a voluntary caregiver to make certain decisions and perform defined tasks for the welfare of a child. This includes granting the caregiver authority to make medical, dental, or educational decisions on behalf of the child, among other specified acts, without transferring legal guardianship from the current parent or guardian.

Who can be authorized under this agreement?

A child's grandparent, adult sibling, aunt, uncle, or a voluntary caregiver identified by child protective services can be authorized under this agreement. It is important that the caregiver has a significant relationship with the child to ensure the child's best interests are being considered.

What are the responsibilities of the authorized relative or caregiver?

Responsibilities include, but are not limited to, authorizing medical treatments, enrolling the child in school, obtaining insurance coverage, and applying for public benefits on behalf of the child. These responsibilities aim to ensure the child's general welfare and educational needs are met.

No, the agreement explicitly prohibits the authorized caregiver from consenting to an abortion or administering emergency contraception to the child. The authority granted is designed to cover general welfare, educational, and medical decisions excluding these specific circumstances.

What happens if there is a change in the caregiver's or child's situation?

Both the parent and the relative or voluntary caregiver are required by law to immediately inform each other of any changes in contact information or any significant change affecting the agreement, such as changes in custody or legal guardianship.

Can the agreement be terminated, and if so, how?

Yes, the agreement can be terminated at any time by the parent, who may resume custody, possession, care, and control of the child upon demand. Failure by the caregiver to return the child upon such a request may result in criminal and civil penalties.

Is it necessary to inform the non-signing parent about this agreement?

A copy of the agreement must be mailed to the non-signing parent, unless that parent is deceased, has terminated parental rights, or falls under specific exceptions such as having a protective order against them or a conviction for violence or sexual offenses against the signing parent or child. This stipulation ensures transparency and protects the rights of both parents.

What is the duration of the agreement?

The agreement can either have a specified expiration date or remain valid until it is revoked in writing by either party. It can also continue to be in effect after the parent's death or during a period of incapacity if selected.

Common mistakes

  1. Not thoroughly checking for accuracy in the child's and parents' details: This includes ensuring the child's full name, date of birth, and the parents' full names, physical addresses, telephone numbers, and other contact information are correctly filled out. Omitting or inaccurately providing this essential information can lead to misunderstandings or legal complications.

  2. Overlooking the selection of the relationship to the child for the relative or voluntary caregiver: The form requires a clear indication of the caregiver's relationship to the child (e.g., grandparent, adult sibling, aunt, or uncle), which is crucial for legal and procedural accuracy.

  3. Forgetting to include or improperly attaching court-related documents when necessary: In cases where the child has been the subject of court action, failing to attach a copy of the court's order to the agreement may render the agreement incomplete or invalid.

  4. Ignoring the mailing requirements for non-signing parents: If the authorization agreement is not signed by both parents, the form stipulates specific mailing requirements for the non-signing parent that are often overlooked. This can lead to the authorization agreement being considered void if not properly followed.

These mistakes can create significant hurdles in the intended legal function of the Authorization Agreement for Nonparent Relative or Voluntary Caregiver, leading to delays, confusion, or even the invalidation of the agreement.

Documents used along the form

The Authorization Agreement for Nonparent Relative or Voluntary Caregiver serves as a vital document for nonparent relatives or voluntary caregivers who take on the care responsibilities for a child. This form ensures that caregivers have the legal authority to make important decisions on behalf of the child in areas such as medical treatment, education, and insurance. To further support the caregiving arrangement and safeguard the child's wellbeing, several other forms and documents are often used alongside the Authorization Agreement. These documents provide additional legal clarity, support, and protection for the child, the caregiver, and the biological parents.

  • Child's Birth Certificate: A certified copy of the child's birth certificate is crucial for verifying the child's identity and age, which is necessary for enrollment in school, obtaining medical insurance, and other legal purposes.
  • Medical Consent Form: This form allows the caregiver to authorize medical treatment in situations where immediate decisions are required, complementing the medical authorization provided in the main agreement.
  • Child Medical History Form: This document provides a comprehensive history of the child's health, including past illnesses, allergies, vaccinations, and treatments, ensuring continuity of care.
  • Power of Attorney for Child: A more specific legal document that grants the caregiver certain legal powers regarding the child’s welfare, often used for specific time periods or medical decisions.
  • Temporary Guardianship Agreement: This form establishes a temporary guardian for the child, providing legal authority similar to that of a parent, usually used when the caregiver needs broad legal authority for a limited time.
  • School Records Transfer Request: When a child is moving to a new school district under the care of a nonparent relative or voluntary caregiver, this document helps facilitate the transfer of educational records.
  • Proof of Residence: Utility bills, lease agreements, or mortgage statements may be required to prove the caregiver's residence when enrolling the child in school or obtaining services on the child's behalf.

In conclusion, the Authorization Agreement for Nonparent Relative or Voluntary Caregiver is a keystone document for establishing a legal care arrangement outside of the traditional parent-child relationship. Alongside it, the documents listed above play essential roles in ensuring the child's needs are met comprehensively, and the caregiver's authority is recognized and respected in various legal, medical, and educational contexts. Together, they comprise a thorough legal framework that protects the interests and rights of the child, the caregiver, and the biological parents.

Similar forms

  • The Temporary Guardianship Agreement is quite similar in purpose and content. It allows a parent to grant temporary custody rights to another person, often under circumstances where the parent is unable to take care of the child due to various reasons like health issues, travel, or military deployment. Both documents serve to ensure the child's needs are met in the absence of the parent and include provisions for medical decisions, educational matters, and daily care.

  • A Power of Attorney for Child Care also shares similarities. This legal document enables a parent to authorize another individual to make decisions and take actions regarding their child's care and welfare, such as consenting to medical treatments or enrolling the child in school. Like the Agreement Nonparent Relative Caregiver form, it typically does not transfer legal custody but grants authority to act on behalf of the parent for the child's benefit.

  • The Child Medical Consent form is another document that parallels the Agreement Nonparent Relative Caregiver form in specific aspects, notably in allowing another person to make medical decisions for a child. However, its scope is usually more limited, focusing specifically on healthcare decisions rather than the broader caretaking responsibilities covered in the caregiver agreement, including education, extracurricular activities, and, in some cases, financial matters.

  • Lastly, the Educational Consent Agreement bears resemblance in that it permits a non-parent to make educational decisions for a child. This can range from enrolling the child in school to making choices about the child's courses, programs, and participation in school activities. While focusing specifically on educational matters, it shares the purpose of ensuring that a responsible adult has the authority to facilitate important aspects of the child's life in the parent's absence, similar to the broader authorities granted in the Agreement Nonparent Relative Caregiver form.

Dos and Don'ts

When filling out the Agreement for Nonparent Relative Caregiver form, it's crucial to approach the process with great care and diligence. The future care and well-being of the child or children in question may depend on the accuracy and completeness of this document. Below are essential do's and don'ts to consider:

  • Do ensure all personal information for the child, the parent completing the form, the child's other parent, and the relative or voluntary caregiver is accurate and up-to-date. This includes full names, physical addresses, telephone numbers, and any other contact information requested.
  • Do clearly identify the relationship of the caregiver to the child by checking the appropriate box, such as grandparent, adult sibling, aunt, or uncle.
  • Do carefully review the list of authorizations you're granting to the relative or voluntary caregiver over the child. This includes medical treatment, enrollment in education, and ability to receive public benefits, among others.
  • Do ensure that all statements regarding the child not being the subject of a current valid authorization agreement, court involvement, or any pending litigation are accurate to the best of your knowledge.
  • Do pay close attention to the warnings and disclosures section to understand the legal implications, including the manner in which this agreement does not confer the rights of a managing or possessory conservator or legal guardian.
  • Don't skip over any section or leave blanks unless you are completely sure that the section does not apply to your situation.
  • Don't forget to staple a copy of the court's order to this agreement if the child has been the subject of a court action and the court has given written approval for the execution of this authorization agreement.
  • Don't neglect the mailing requirements section. If another parent did not sign the authorization agreement, ensure a copy is mailed to them following the specific requirements outlined. This step is crucial to ensure the agreement is legally valid.
  • Don't forget to sign the document and have it notarized, as these steps are necessary for the agreement to be legally binding.

Approaching the Agreement for Nonparent Relative Caregiver form with these considerations in mind will help ensure that the document is completed thoroughly and accurately, reflecting the best interests of the child and all parties involved.

Misconceptions

When navigating the complexities of legal documents, misunderstandings can easily arise. This is particularly true for the Authorization Agreement for Nonparent Relative or Voluntary Caregiver form. Let's clear up some common misconceptions:

  • It grants full custody to the caregiver. Many believe that by completing this form, a caregiver receives full legal custody of the child. In reality, the form allows the caregiver to make specific decisions for the child—like those related to schooling, medical care, and insurance—without transferring full legal custody from the parents.
  • It's a permanent arrangement. Another common misunderstanding is that this agreement is irreversible. However, the form is designed to be a temporary solution. A parent can revoke the agreement at any time and demand the return of their child. The idea that it is a fixed, permanent arrangement is incorrect.
  • It eliminates the parent's financial responsibilities. Some think that by signing this agreement, they're transferring all financial responsibilities to the caregiver. This is not the case. While the caregiver assumes certain responsibilities, the parent retains their obligation to support their child financially.
  • Court involvement is always required. There's a misconception that this agreement cannot be completed without going to court. Though the form is designed to operate within specific legal parameters, court involvement is only required under certain conditions, like when a court order regarding the child's custody already exists. In many cases, the agreement can be signed without direct court involvement.

Understanding these key points can help ensure that parents and caregivers entering into an Authorization Agreement for Nonparent Relative or Voluntary Caregiver are fully aware of its terms, limitations, and the flexibility it offers, thus avoiding unnecessary confusion or legal challenges.

Key takeaways

Filing and utilizing the Agreement Nonparent Relative Caregiver form is subject to specific considerations and requirements under Texas Family Code. The following takeaways outline vital aspects of this form, offering guidance on its implications and execution:

  • Under Chapter 34 of the Texas Family Code, the form permits nonparent relatives or voluntary caregivers to make certain decisions for a child when authorized by the child's parent. These decision-making powers can encompass areas such as medical treatment, education, and employment.

  • The Authorization Agreement is specifically designed for nonparent relatives or voluntary caregivers, signifying that it does not equate to legal guardianship or alter parental rights but allows for the delegation of certain responsibilities concerning the child.

  • It is crucial for both parties—the parent and the nonparent relative or voluntary caregiver—to immediately inform each other about any changes in contact information, underscoring the importance of communication in ensuring the child's welfare.

  • Completion of this authorization can include stipulations about the child's healthcare, educational enrollment, participation in extracurricular activities, and even matters regarding employment and public benefits, but it specifically excludes the authorization of abortion or emergency contraception for the child.

  • Before signing, both the parent and the relative or voluntary caregiver are advised to read all warnings and disclosures, emphasizing that legal advice may be beneficial even though it is not mandated. This counsel can be particularly valuable to understand the agreement's impact on parental rights and responsibilities fully.

  • In circumstances where only one parent signs the agreement, it is mandatory to mail a copy to the non-signing parent, barring specific exceptions such as a protective order against the non-signing parent for acts of family violence or if the non-signing parent has been convicted of certain offenses. This requirement ensures transparency and protection of the child's interests.

  • The form stipulates that the agreement is either time-bound or remains valid until explicitly revoked in writing by any party to the agreement. Furthermore, there is an option for the agreement to continue beyond the death or incapacity of the parent, reinforcing the importance of long-term planning for the child's well-being.

  • Lastly, execution of a new agreement does not automatically nullify a previous one unless expressly stated, which is critical for maintaining a coherent legal framework around the child's care. This feature requires parties to be diligent in managing and updating any such agreements to reflect current arrangements accurately.

Understanding these key takeaways ensures that individuals are well-informed about the implications, responsibilities, and limitations of the Agreement Nonparent Relative Caregiver form, effectively navigating legal and practical considerations for the child's care.

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