The Authorization Agreement for Nonparent Relative or Voluntary Caregiver form is a critical legal document crafted to comply with Chapter 34 of the Texas Family Code. It authorizes specified relatives or voluntary caregivers to make certain decisions for a child, encompassing medical treatments, schooling, and more, without conferring the full legal rights of a guardian or conservator. To safeguard the welfare of the child involved and ensure legal compliance, clicking the button below to fill out this form accurately is imperative.
When families face challenges that require a child to be cared for by someone other than their parents, the Authorization Agreement for Nonparent Relative or Voluntary Caregiver form becomes an important tool to facilitate this arrangement legally and safely. Originating from Chapter 34 of the Texas Family Code, this form is designed to authorize a nonparent relative or a voluntary caregiver to make specific decisions on behalf of a child. These decisions range from authorizing medical treatments and applying for public benefits to enrolling the child in school and more, highlighting the form’s comprehensive scope that aims to ensure the child's well-being in the absence of parental care. Not only does it specify the powers granted to the caregiver, but it also delineates the legal obligations of both the parent and the caregiver, including the requirement to keep each other informed about any changes in contact information. Furthermore, it outlines various conditions under which the agreement can be executed, such as the lack of court involvement or specific court permissions if necessary. Warnings and disclosures are also provided to ensure both parties understand the legal significance of the agreement, emphasizing the temporary nature of the arrangement and the parent's ability to resume care of the child at any time. This paper carries significant legal weight, also mandating the mailing requirements to the non-signing parent unless specific exceptions apply, ensuring all parties are duly informed. Such an agreement stands as a testament to the law’s flexibility and consideration for the welfare of children, ensuring they receive care and support in a structured and legally recognized manner.
AUTHORIZATION AGREEMENT FOR NONPARENT RELATIVE OR VOLUNTARY CAREGIVER
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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:
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
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.
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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.
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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
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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**
RELATIVE OR VOLUNTARY CAREGIVER
Filling out the Authorization Agreement for Nonparent Relative or Voluntary Caregiver form is a critical process that allows a nonparent relative or voluntary caregiver to make specific decisions for a child in the absence of the child's parents. It's important to approach this task with accuracy and care to ensure the well-being of the child is maintained and that all legal requirements are met. Here are the steps you need to take to correctly fill out the form:
Once all steps are completed, the form is legally binding, granting the named relative or voluntary caregiver the authority to make decisions on behalf of the child within the specified scope. Remember, the form can be revoked or modified at any time by the parent in writing, reflecting any changes in the caregiving arrangement or legal circumstances concerning the child.
What is an Authorization Agreement for Nonparent Relative or Voluntary Caregiver?
An Authorization Agreement for Nonparent Relative or Voluntary Caregiver is a legal form that allows a parent to give certain caretaking authorities to a relative or a voluntary caregiver. This form, in line with the Texas Family Code Chapter 34, enables the designated caregiver to make decisions about the child’s medical treatment, education, insurance coverage, and more, while not granting them full legal custody or guardianship of the child.
Who can be authorized as a Nonparent Relative or Voluntary Caregiver?
The form allows parents to authorize a relative such as the child’s grandparent, adult sibling, aunt, or uncle, or a voluntary caregiver selected through a Parental Child Safety Placement with Child Protective Services. This person must be willing and able to take on the responsibility of caring for the child, including making decisions about their health, education, and welfare.
Can the authorization be terminated, and if so, how?
Yes, either party, the parent or the relative/voluntary caregiver, can terminate the authorization at any time. The parent can resume custody and control of the child on demand. If the caregiver refuses to return the child upon the parent’s request, they may face criminal and civil consequences. For the agreement to be officially terminated, it must be done in writing by either party.
What are the mailing requirements if both parents do not sign the agreement?
If only one parent signs the authorization agreement, a copy must be mailed to the non-signing parent unless their parental rights have been terminated or the parent is deceased. This mailing must be done no later than the 10th day after the agreement is signed, using certified or international registered mail. If no response is received within 20 days, a second copy must be mailed by first-class post. Certain exceptions apply, such as in the case of a protective order against the non-signing parent or a criminal conviction against them for violent or sexual offenses.
Not providing complete information about the child and the parents: One common mistake is not filling out every section of the form that asks for details about the child (such as the child's full name and date of birth) and the parents (including full names, physical addresses, and contact information). This oversight can cause delays and confusion.
Incorrectly identifying the relationship of the caregiver to the child: The form requires the person filling it out to check the correct box indicating the caregiver's relationship to the child (e.g., grandparent, adult sibling, aunt, or uncle). Misidentifying this relationship can lead to questions about the caregiver's eligibility and authority.
Failing to notify the other parent in cases where both do not sign: If both parents do not sign the authorization agreement, a copy must be mailed to the non-signing parent unless specific exceptions apply. Overlooking or ignoring this requirement can invalidate the agreement.
Overlooking the legal declaration section about previous agreements or court involvement: The form contains important checkboxes concerning the child's current legal status, including whether there is a pre-existing authorization agreement or court involvement. Failure to accurately acknowledge these conditions can invalidate the new agreement or conflict with existing legal orders.
Omitting the signature and notarization process: Every signature box at the end of the form must be duly signed and acknowledged before a notary public. Missing out on this crucial step fails to legally bind the agreement, rendering it ineffective.
When filling out the Authorization Agreement for Nonparent Relative or Voluntary Caregiver, it's essential to pay close attention to every detail and follow all the instructions to ensure the agreement is valid and effective. Missteps can delay the process and possibly affect the well-being of the child involved.
In legal matters involving the care of a child by a nonparent relative or voluntary caregiver, utilizing the Authorization Agreement for Nonparent Relative or Voluntary Caregiver form is a significant step. However, to ensure the arrangement is both comprehensive and legally sound, several other forms and documents are often used in conjunction. These documents not only support the initial agreement but also serve to solidify the caregiver's authority in various aspects of the child's welfare and education.
Together, these documents form a sturdy legal framework that supports the nonparent relative or voluntary caregiver arrangement, ensuring the child’s needs are met in the absence of the parent. They provide clarity and legal backing for the caregiver, aid in the administration of health and educational services, and ensure that the child's welfare is consistently prioritized. It is highly recommended that caregivers and parents understand and prepare these additional forms alongside the Authorization Agreement to ensure a seamless and supported caregiving arrangement.
A Power of Attorney for Child Care shares similarities in assigning authority over certain decisions regarding a minor. Like the Authorization Agreement for Nonparent Relative or Voluntary Caregiver, it enables an adult other than the parent to make decisions related to the child’s education, medical care, and other significant areas.
The Temporary Guardianship Agreement is akin to this form as it grants temporary custody and decision-making powers over a child to another relative or adult. This typically covers the same areas such as education, healthcare, and daily living but is usually for a specified period.
A Medical Consent Form for Minors focuses specifically on granting authority to a nonparent to make medical decisions. This form parallels the medical decision-making provision in the Authorization Agreement, enabling the caregiver to authorize treatments and procedures.
The Child Travel Consent Form allows a child to travel with an adult who is not their legal guardian, similar to part of what can be covered under this Agreement when it involves authorizing day-to-day and extracurricular activities which may include travel.
Educational Consent Forms permit a nonparent to make educational decisions, including school enrollment and participation in school activities, echoing the educational provisions allowed under the Authorization Agreement.
A Child Care Authorization Letter is designed for a short-term arrangement to grant a caregiver permission to take care of a child, including making emergency decisions. While more informal, its intent aligns closely with the Authorization Agreement’s purpose of assigning caregiving responsibilities.
Benefit Claims Authorization for Minors allows a designated adult to apply for and manage benefits on behalf of a child, such as social security or government aid, which is also a function of the Authorization Agreement in ensuring the child’s needs are met financially and for healthcare.
Lastly, a Driver’s License or ID Card Authorization form, which might not be a standalone document but a part of broader consent forms, allows a minor to obtain a driver’s license or state ID. This specific responsibility can be part of the broader powers granted to a caregiver under the Authorization Agreement, reflecting its comprehensive nature in caring for the child’s varied needs.
When filling out the Agreement Nonparent Relative Caregiver form, there are specific do's and don'ts that should be followed to ensure the process is completed accurately and effectively. Below are five key considerations for each category.
Things You Should Do:
Things You Shouldn't Do:
When discussing the Authorization Agreement for Nonparent Relative or Voluntary Caregiver, several misconceptions commonly arise. Understanding these misconceptions is crucial for families considering this legal arrangement. The following explanations aim to clarify these misunderstandings:
It's important for parents and caregivers to fully understand the terms and implications of the Authorization Agreement for Nonparent Relative or Voluntary Caregiver. Being informed helps ensure the best interests of the child are always prioritized.
Understanding the Agreement Nonparent Relative Caregiver form is essential for anyone considering this arrangement in Texas. Below are eight key takeaways for completing and using this form:
Completing the Agreement Nonparent Relative Caregiver form requires careful consideration and understanding of its terms. Both parties should read all warnings and disclosures before signing to ensure the welfare of the child is prioritized and protected within the scope of this legal arrangement.
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