Authorization for Legal Guardian and Family

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    Authorization for Legal Guardian and Family

    Write this letter in order to authorize your child's legal guardian and his or her family to perform certain tasks. For example, if the legal guardian is caring for your child while you are out of town, you would leave this letter with him or her to authorize him or her to obtain medical care for your child.

    [Your letterhead, if desired; if not, your return address]

    [Date of letter-month, day, and year]

    [Recipient's first and last names]
    [Company name]
    [Street or P.O. box address]
    [City, State ZIP code]

    Dear [recipient's name]:

    During the time that I am away from home and out of town, from June 9 to June 15, 2009, I hereby authorize Frank and Mary Dunning to obtain medical care for my child, Tommy Foreman. His date of birth is August 23, 2007, and his pediatrician is Dr. Vanessa Mills at Mills Pediatrics. Mr. and Mrs. Dunning are the legal guardians for Tommy.

    Thank you for your attention to this matter.

    Sincerely,

    [Signature]

    [Sender's first and last names]

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