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Download Temporary Custody Form in PDF

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When families face unexpected situations, such as a parent being unable to care for their child due to illness, deployment, or other emergencies, the Temporary Custody form becomes a crucial tool for ensuring the child's well-being. This form allows a designated individual, often a relative or close family friend, to take on the responsibilities of a caregiver for a limited period. Understanding the major aspects of this form is essential for anyone considering its use. The form typically requires information about the child, the temporary custodian, and the circumstances necessitating the arrangement. It may also outline the duration of custody, any limitations on the custodian's authority, and the need for consent from the child's parents or legal guardians. By properly completing and filing this form, families can create a legally recognized framework that provides stability and security for children during challenging times.

Document Data

Fact Name Description
Purpose The Temporary Custody form is used to request temporary custody of a child during legal proceedings.
Eligibility Anyone with a legitimate interest in the child's welfare can file for temporary custody.
Governing Law In the U.S., the laws governing temporary custody vary by state. For example, in California, it falls under Family Code Section 3060.
Filing Process To file, submit the completed form to the appropriate family court in your jurisdiction.
Hearing Requirement A court hearing is typically required after filing to determine the custody arrangement.
Duration Temporary custody is usually granted for a limited time, pending further court decisions.

How to Write Temporary Custody

After gathering the necessary information, you are ready to fill out the Temporary Custody form. This process requires careful attention to detail to ensure that all required fields are completed accurately. Following the steps outlined below will help you navigate the form efficiently.

  1. Begin by entering your full name at the top of the form.
  2. Provide your current address, including city, state, and zip code.
  3. Fill in your phone number and email address for contact purposes.
  4. Identify the child or children for whom you are seeking temporary custody. Include their full names and dates of birth.
  5. Clearly state the reason for requesting temporary custody. Be concise and specific.
  6. List any relevant details about the child’s current living situation.
  7. Include information about the other parent or legal guardian, such as their name and contact information.
  8. Sign and date the form at the bottom to certify that the information provided is true and accurate.

Once you have completed the form, review it for any errors or missing information. After ensuring everything is correct, you can submit it to the appropriate court or agency. Keep a copy for your records.

Temporary Custody Example

Temporary Guardianship Agreement

I, _____________________________________________, of ___________________________________________

(print your full name)(street )

________________________________________________________, as the custodial parent of:

(city, state, zip)

List the full names of each child

List each child’s birth date

Do hereby grant temporary guardianship of the above listed children to:

List the full names of the individual (s) to whom you are List each person’s relationship to the child(ren) granting temporary custody

Contact information of temporary guardians listed above:

Address: _____________________________________________________________________________________

Phone numbers: ________________________________________________________________________________

Statement of Consent: (To be signed in the presence of a legalized notary public.)

I, _____________________________________, hereby grant temporary guardianship of the above children, whom

I have legal custody of to ________________________________________________________________________:

□From ________________________________to ___________________________________

(mm/dd/yyyy)

(mm/dd/yyyy)

□For as long as necessary, beginning on __________________________________________

(mm/dd/yyyy)

In addition, in the event of an emergency or non-emergency situation requiring medical treatment, I hereby grant permission for any and all medical and/or dental attention to be administered to my child/children, in the event of an accidental injury or illness. This permission includes, but is not limited to, the administration of first aid, and the use of an ambulance, and the administration of anesthesia and/or surgery, under the recommendation of qualified medical personnel. I also grant permission for the guardian(s) named above to make educational decisions for my child/children.

Signature: ______________________________________________________________ Date: _________________

Signature: ______________________________________________________________ Date: _________________

Notarization:

On this _______________day of _______________, _________, ________________________________________

(date)

(month)

(year)

(name of parent)

 

personally appeared before me in ___________________________, _______________and, in my presence,

 

(city)

 

(state)

 

has/have satisfactorily identified him/her/themselves as the signer(s) of

this Temporary Guardianship Form.

 

 

 

 

Affix Notary

Name of Notary Official: ________________________________________________________

Seal Here

Signature: _____________________________________________________Commission Expires: ______________

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