Skip to content
LitigationForms
FM-34-109-EN-ES-VLSLegal-aid form

VLS: Authorization Agreement for Nonparent Adult Caregiver | Acuerdo De Autorización Para Cuidador Que No Es Un Padre)

Texas · TexasLawHelp.org

This form allows parents to give temporary legal permission to a nonparent adult caregiver to perform various actions for the child. It lists specific areas where the caregiver can act on the child's behalf, such as medical care or school enrollment.

The court describes it as: With this form, parents can give nonparents temporary legal rights to care for children. Form by Volunteer Legal Services (not State of Texas). Spa...

Open the official PDFfrom TexasLawHelp.org

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used when parents want to give temporary legal rights to a caregiver who is not a parent. It is based on Chapter 34 of the Texas Family Code.

Either party may file.

Common questions

Who fills out this form?
The parents who are completing the form are the ones giving the authorization. The caregiver and the other parent's information are also collected. The form is provided by Volunteer Legal Services, not the State of Texas.
What kind of actions can the caregiver be authorized for?
The parents can authorize actions like medical treatment, enrolling the child in school, or getting state identification documents. The form lists several specific options.
Does this form make the child a foster child?
No, the form states that a child covered by this agreement is not considered to be placed in foster care.

Revision history

No changes recorded since we started tracking this form on October 9, 2026.

Related forms

  • CV-RMT-105-Notice of Submission

    Notice of Submission [Civil, Non-Family]

    This form is used by the court to let everyone know that the judge is signing an order without having a hearing first. It requires filling in case details and describing the document being submitted.

    Legal-aid form
  • FDC-GNC-200

    Consent to Medical Treatment by a Non-Parent

    This form is a guide for parents to give another adult permission to consent to a child's medical treatment.

    Legal-aid form
  • FH-FM-ChilC-INFO

    Worksheet for Reinstatement of Parental Rights

    This worksheet helps a person gather and organize information needed if they are thinking about asking the court to restore their parental rights. The worksheet itself should not be given to the court.

    Legal-aid formFillable PDF
  • FM-34-109

    Authorization Agreement for Voluntary Non-Parent Caregiver

    This form lets a parent give another relative caregiver legal permission to make certain decisions for a child. It lists many types of care and decisions the caregiver can make for the child.

    Legal-aid formFillable PDF
  • No number

    Accessing Adoption Records Research Guide (Tarrant County Law Library)

    This guide is a research tool that lists information and resources about how to request adoption records in Texas. It points to various legal codes, manuals, and websites that have information on the topic.

    Legal-aid form
  • No number

    Advance Directive (Bilingual)

    This form is a legal document called an Advance Directive that helps a person tell doctors and family what medical care wishes they have if they become unable to speak for themselves. It asks the person to state their preferences regarding life-sustaining treatments in different medical situations.

    Legal-aid form
  • No number

    Certification Letter for Victim of Family Violence Waiver for Electric and Telephone Service Deposit

    This form is used by certain organizations to officially state that a person is a victim of family violence. This certification helps the person prove they are trustworthy enough to get electric and telephone service without having to pay a security deposit.

    Legal-aid form
  • No number

    Do You Know the Facts About Family Violence?

    This document is a brochure that presents true or false statements about family violence and then provides factual corrections for each statement. It does not ask the court for anything.

    Legal-aid form