Affidavits
Caregiver Authorization Affidavit
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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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