Temporary Guardianship Letter: A Free Template
A starting point for organizing a temporary guardianship arrangement, who can consent to medical care, pick your kids up from school, or make a call while you're away. Not a state-specific legal form. Free, immediately downloadable, no email or account required.
No email required. Nothing you do on this page is tracked.
Basic info
- Child's full name & date of birth
- Parent/guardian name(s)
- Temporary guardian's full name & phone
- Time period (start and end date, or "until parent returns")
What this covers
- Medical care authorization (can they consent to treatment?)
- School pickup / authorization (add to school's approved pickup list)
- Travel with the child (if applicable)
- Specific limits (anything the temporary guardian should NOT decide)
Where to find things
- Health insurance info
- Pediatrician name & phone
- Allergies & medications
- Emergency contacts besides you
Making it official
- Does your state require notarization? (check before you travel, not after)
- Signed copies given to (school, daycare, temporary guardian)
How to reach you
- Your phone & how you'll be reachable
- Backup contact if you can't be reached
Requirements for notarization and exact wording vary by state, check yours or ask an attorney if this needs to be legally enforceable. For everything else your family or caregiver might need, Keystone Binder builds a complete binder in the same amount of time.
Build your free binder previewTraveling soon and need the fuller picture? See An emergency binder before you travel and the free sitter instructions template.