Unexpected emergencies can happen — including medical situations, travel disruptions, work obligations, or legal matters such as arrest or detention — and it’s important for parents to have a plan in place to protect their children if they are temporarily unable to care for them.
This Delegation of Parental Authority form allows a parent or legal guardian to temporarily authorize a trusted friend or family member to make decisions and care for their minor children during a temporary absence. It is commonly used in situations involving illness, military service, immigration issues, incarceration, or other short-term circumstances.
This document does not transfer custody or permanently give up parental rights. Parents retain full legal authority and may revoke the delegation at any time, unless limited by state law.
By completing this form in advance, parents can help ensure their children remain with someone they trust rather than being placed into foster care or emergency state custody.
What This Form Allows a Caregiver to Do
Depending on the powers you grant, the designated caregiver may be authorized to:
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Provide daily care and supervision
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Enroll children in school or daycare
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Make educational decisions and access school records
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Consent to medical and emergency treatment
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Communicate with schools, healthcare providers, and agencies
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Arrange childcare, transportation, and activities
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Access necessary records and benefits
Only the powers you specifically authorize will apply.
Important Things to Know Before Completing the Form
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This is a temporary delegation only — not a court order
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Some states limit how long a delegation may last (often 6–12 months)
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The form should be signed and notarized or witnessed if possible
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Copies should be provided to schools, doctors, and the caregiver
You may wish to consult with a qualified attorney to ensure the form complies with your state’s laws and meets your family’s specific needs.
Download the Delegation of Parental Authority Form
Use the blank form below along with the included step-by-step instructions to complete your Delegation of Parental Authority.