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FM-34-109-EN-VILegal-aid form

Authorization Agreement for Voluntary Non-Parent Caregiver (Vietnamese Translation Attached)

Texas · TexasLawHelp.org

This form allows parents to give temporary legal rights to a non-parent caregiver to make certain decisions for a child. It lists many types of decisions the caregiver can make, such as medical care and school enrollment.

The court describes it as: With this form, parents can give nonparents temporary legal rights to care for children. State of Texas form with translation to Vietnamese attache...

Open the official PDFfrom TexasLawHelp.org

Where this fits in a case

Motions

Stage: Motions

This form is used when parents want to give temporary authority to a non-parent caregiver to make decisions for a child. The agreement has rules about how and when it must be shared with the other parent.

Either party may file.

Common questions

Who fills out this form?
The parent completing the form and the voluntary adult caregiver fill out this agreement together.
What does this form give the caregiver the right to do?
It allows the caregiver to make decisions about things like medical treatment, school enrollment, and getting necessary documents for the child.
Does this form replace court orders?
The form warns that it does not replace or cancel any previous authorization agreement or court orders.

Revision history

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

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