The Caregiver's Authorization Affidavit is essential in situations where parents or legal guardians need to formally delegate caregiving authority to another person in Indonesia. This document, governed by Indonesian law including Law No. 23 of 2002 on Child Protection and the Civil Code, provides legal authorization for caregivers to make day-to-day decisions regarding a child's care, education, and medical treatment. It's particularly useful for temporary caregiving arrangements, extended family care situations, or when parents are traveling or otherwise temporarily unable to provide direct care. The affidavit must be properly executed before a notary public and typically includes detailed information about all parties involved, specific authorities granted, duration of the arrangement, and emergency contact information.
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1. Title and Date: Official title of the document and date of execution
2. Declarant Information: Full legal name, identification details, and address of the person making the affidavit (usually the parent or legal guardian)
3. Child Information: Full legal name, date of birth, and current residence of the child
4. Caregiver Information: Full legal name, identification details, and address of the designated caregiver
5. Relationship Statement: Declaration of the relationship between the child, declarant, and caregiver
6. Authority Grant: Specific powers and responsibilities being granted to the caregiver
7. Duration: Time period for which the authorization is valid
8. Emergency Contacts: List of emergency contacts including the declarant and alternative contacts
9. Declarations and Attestations: Formal statements affirming the truth of the information and understanding of legal implications
10. Execution: Signature block for declarant, caregiver, and notary requirements under Indonesian law
1. Medical Authorization: Specific authorization for medical decisions, used when the caregiver needs to make healthcare decisions
2. Educational Authorization: Specific authorization for educational decisions, used when the caregiver needs to interact with schools
3. Travel Authorization: Authorization for domestic travel with the child, used when caregiver may need to travel with the child
4. Financial Responsibility: Statement regarding financial obligations, used when clarification of financial responsibilities is needed
5. Revocation Terms: Specific terms for revoking the authorization, used when additional revocation conditions need to be specified
6. Previous Caregiving Arrangements: Information about any previous caregiving arrangements, used when there is relevant caregiving history
1. Schedule A - Identification Documents: Copies of relevant identification documents for all parties
2. Schedule B - Medical Information: Child's medical history, allergies, and current medications if applicable
3. Schedule C - Emergency Contact Details: Detailed contact information for all emergency contacts
4. Schedule D - Specific Authorizations: Detailed list of specific authorizations granted to the caregiver
5. Appendix 1 - Witness Statements: Required witness statements and identifications under Indonesian law
6. Appendix 2 - Notarial Certificate: Official notarial certificate and stamps as required by Indonesian law
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