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Temporary Guardianship / Power of Attorney

A parent/legal guardian can delegate parental powers of care, custody, property, and authorization of medical care and emergency services for a child using this form. 

The temporary guardian understands and agrees that the child will be a full-time resident at their address while the temporary guardianship is in effect. 

Signatures of the parent / legal guardian and temporary guardian need to be notarized. 

SUPPORTING DOCUMENTS

PDF icon 2022-2023 Guardian Application- English (443 KB)

PDF icon 2022-2023 Guardian Application- Spanish (574 KB)

PDF icon 2022-2023 Guardian Application- Russian Speaking (306 KB)

PDF icon 2022-2023 Guardian Application- Vietnamese (340 KB)