[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-279508-105":53,"doc-detail-279508-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","temporary-guardianship-form-statement-of-consent-and-delegation","Temporary Guardianship Form - Statement of Consent and Delegation","","Temporary Guardianship Form template for a custodial parent to grant temporary custody of listed minor children to one or more designated temporary guardians. Includes sections to record children’s full names and dates of birth, guardians’ names, relationships, and contact information. Provides consent and authorization terms covering care, custody, and minor children’s school and medical/dental decisions, with specified effective dates or duration tied to absence-related events, plus signature and notarization details.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/temporary-guardianship-form-statement-of-consent-and-delegation/279508/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/temporary-guardianship-form-statement-of-consent-and-delegation/279508.png","ImageObject",442,249,{"name":88,"@type":89},"Bill Black","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-30","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",13,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information must the custodial parent provide for each minor child?","Question",{"text":109,"@type":110},"The form requires each child’s full name and date of birth.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Who can receive temporary guardianship, and what details are required?",{"text":114,"@type":110},"Temporary guardianship can be granted to the named individual(s); the form collects their full names, relationship to each child, and contact information such as address and phone numbers.",{"name":116,"@type":107,"acceptedAnswer":117},"How long does the temporary guardianship authority remain effective?",{"text":118,"@type":110},"It can be set for specific date ranges or for as long as necessary beginning on a start date, and it also covers an absence-related trigger event, ending six months from that date. The parent retains the right to revoke authority at any time.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},279508,1789522003,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":126,"read_time":9},24189269381491,"https://ap-avatar.wpscdn.com/avatar/160000cf11732dd8392?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788146458752108895","I,   (parents print your full name) of,   (street )  \n  ,(city, state, zip) as the custodial parent of: List the full names of each child  \n1.  Childs Date ofBirth    \n2.   Childs Date ofBirth    \n3.   Childs Date ofBirth    \nDo hereby grant temporary guardianship of the above listed children to:  \nList the full names of the individual (s) to whom you are granting temporary custody  \n1.  Relationship to Child    \n2.   Relationship to Child   Contact information of temporary guardians listed above:  \nAddress:   Phone numbers:    \nStatement of Consent: (To be signed in the presence of a legalized notary public.)  \nI,   , hereby grant temporary guardianship of the above children, whom I have legal custody of to   :  \n□From   (mm/dd/yyyy) to   (mm/dd/yyyy)  \n□For as long as necessary, beginning   (mm/dd/yyyy)  \n□ In case of my absence, from this date forward,   (mm/dd/yyyy)  \nI delegate to the attorney-in-fact all of my power and authority regarding the care, custody and property of the minor child/ren, including but not limited to the right to enroll the minor child/renin school, inspect and obtain copies of education records and other records concerning the minor child/ren, the right to attend school activities and other functions concerning the minor child/ren, and the right to give or withhold any consent or waiver with respect to school activities, medical and dental treatment, and any other activity, function or treatment that may concern the minor child/ren. Yo autorizo a la persona elegida o designada como apoderado todo mipoder y autoridad con respecto al cuidado, la custodia y la propiedad de los hijos menores de edad, incluyendo pero no limitado al derecho dematricularlos en la escuela, inspeccionar y obtener el derecho a asistir a actividades escolares y otras funciones relacionadas con los menores de edad, y el derecho a dar o retener cualquier consentimiento o renuncia con respectoa las actividades escolares, los servicios médicos y dentales, tratamientos y cualquier otra actividad, función otratamiento que pueda involucrar al (los) niño (s) menor (es).  \nThis delegation of powers is effective for a period not to exceguardian and, beginning upon the occurrence of arrest, deportation, incapacity, or similar event that renders the above-mentioned minor child/ren without an available parent or legal guardian, and ending six months from that date. I reserve the right to revoke this authority at any time. Este poder tiene vigencia por un período no mayor de seis meses, apartir de la ocurrencia de arresto, deportación, incapacidad oevento similar que haga que los hijos menores mencionados no tengan un padre o tutor legal disponible y termina seis meses a partir de esafecha. Tengo derecho de revocar este poder en cualquier momento.  \nSignature of parent:   Date:   \nSignature of parent:   Date:   \nOn this   (date) day of   (month),   (year),   (name of parent) personally appeared before me in   ,(city)   (state) and, in my presence, has/have satisfactorily identified him/her/themselves as the signer(s) of this Temporary Guardianship Form. Affix Notary Name of Notary Official:  \n________________________________________________________  \nSignature:    \nCommission Expires:","cbCait7xguYt6bOl","https://ap.wps.com/l/cbCait7xguYt6bOl","pdf",180363,"English","# Statement of Consent\n## Temporary guardianship delegation\n## Effective period and revocation rights\n## Signatures and notarization","[{\"question\":\"What information must the custodial parent provide for each minor child?\",\"answer\":\"The form requires each child’s full name and date of birth.\"},{\"question\":\"Who can receive temporary guardianship, and what details are required?\",\"answer\":\"Temporary guardianship can be granted to the named individual(s); the form collects their full names, relationship to each child, and contact information such as address and phone numbers.\"},{\"question\":\"How long does the temporary guardianship authority remain effective?\",\"answer\":\"It can be set for specific date ranges or for as long as necessary beginning on a start date, and it also covers an absence-related trigger event, ending six months from that date. The parent retains the right to revoke authority at any time.\"}]","Temporary Guardianship Form - Statement of Consent and Delegation | PDF"]