Affidavits
Caregiver Authorization Affidavit
A sworn affidavit by a parent or guardian authorizing a caregiver to act for a child — for school, medical, or day-to-day decisions while the child is in their care. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
Pay only when you notarize
Word files are editable. Review any changes carefully before signing or uploading.
Also known as
- Caregiver Authorization
- Authorization for Care of a Child
- Caregiver Consent Affidavit
+1 more names
- Temporary Caregiver Affidavit
CAREGIVER AUTHORIZATION AFFIDAVIT
I, ______, of ______, in the Province of Ontario, MAKE OATH AND SAY (or AFFIRM) that:
I am the parent or lawful guardian of ______, born ______.
I authorize ______, of ______, to care for my child and to act on my behalf as follows: ______.
This authorization is effective from ______ until the end date stated below, if any, unless I revoke it sooner in writing.
End date (if any):
Contact details during this period (if provided):
I confirm that I have the legal authority to grant this authorization in respect of my child.
I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.
Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.
______________________________ | ______________________________ |
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- Scope
- General template, not legal advice
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- PDF + editable Word downloads
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Caregiver Authorization Affidavit
A compact preview of this template
01Parent / Guardian
Your full legal name
Child's full legal name
Your full address
CAREGIVER AUTHORIZATION AFFIDAVIT
I, ______, of ______, in the Province of Ontario, MAKE OATH AND SAY (or AFFIRM) that:
I am the parent or lawful guardian of ______, born ______.
I authorize ______, of ______, to care for my child and to act on my behalf as follows: ______.
This authorization is effective from ______ until the end date stated below, if any, unless I revoke it sooner in writing.
End date (if any):
Contact details during this period (if provided):
I confirm that I have the legal authority to grant this authorization in respect of my child.
I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.
Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.
______________________________ | ______________________________ |
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How it works
Prepare your document, one step at a time.
Answer the questions, choose the download you need, then continue with signing or booking.
Overview
About this document
- 02
When you might need one
It supports a caregiver acting for a child.
- A child stays with a relative, friend, or caregiver for a period.
- A school or clinic asks who may act for the child.
- You must authorize day-to-day or specific decisions in your absence.
Good to know
Before you fill it in.
Short notes from our notary on this template. Worth a minute before you start.
- 01
Reviewed for use in Ontario by a notary public and commissioner for taking affidavits.
- 02
Fill it in online for free and download a ready-to-sign PDF — no account required.
- 03
Sign in front of the notary, who administers your oath or witnesses your signature and applies the seal.
- 04
Notarize online by video across Ontario, or in person in Ottawa.
Frequently asked
Questions about the Caregiver Authorization Affidavit
- What is a caregiver authorization affidavit for?
- To authorize a trusted adult to act for your child — for school, medical, or day-to-day decisions — while the child is in their care.
- Does it transfer guardianship?
- No. It authorizes a caregiver to act in defined ways; it does not transfer legal guardianship.
- Should both parents sign?
- Where both parents share decision-making, it is best for both to sign so the caregiver’s authority is not questioned.
- Can I notarize it online in Ontario?
- Yes. You can complete it online by video under Ontario’s remote commissioning rules, or in person in Ottawa with Minute Notary.
Keep exploring
Related templates
Other documents for identity & personal status.
- 01Statutory Declaration of Caregiver for a Dependent Adult
A sworn declaration that you provide care to a dependent adult — useful to support care, tax credit, or benefit applications. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
Fill it out - 02Statutory Declaration of Revocation of Authorization
A sworn declaration revoking an authorization or consent you previously gave — used to formally end someone’s authority to act for you. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
Fill it out - 03Affidavit of Identity for a Minor Child
A sworn affidavit by a parent or guardian confirming a child’s identity and particulars — often needed for passports, banking, or records. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
Fill it out - 04Certificate of Independent Legal Advice
A certificate of independent legal advice (ILA) confirms that a person received independent legal advice from a lawyer before signing a document, such as a guarantee or mortgage. The advice must come from a lawyer; a notary can witness signatures.
Fill it out
Ready to sign?
Ready to create your Caregiver Authorization Affidavit?
Fill it in online, then download a ready-to-sign PDF or an editable Word copy. Use the generated PDF to continue to booking. Not sure what the appointment involves? Read about the Statutory Declarations service first.