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Temporary Guardianship
This basic template for temporary guardianship can be utilized as a starting structure for your document. The form allows you to state the children and guardian along with make a statement regarding guardianship.

Free Sample Template
Format: Word PDF
# of Pages: 1
Printable: Yes

Temporary Guardianship TemplateForm 3982
Format: Word PDF
Category: Legal, Statement
Type: Form

Temporary Guardianship

Effective Date: ___/___/_____

“Custodial Parent”

Name: ________________________________________________________________________________________

Address: ______________________________________________________________________________________

City: _________________________________ State: ___________ Zip Code: _______________________________

Phone Number: ________________________________________________________________________________

Email Address: _________________________________________________________________________________

Child’s Name

Date of Birth

I the above listed custodial parent of the above listed children do hereby grant temporary guardianship to:

Full Name


Temporary Guardian’s Contact Information


Phone Number

I, ___________________________________ hereby grant temporary guardianship of the above children to whom I have legal custody of to:


From ___/___/_____ to ___/___/_____

Signature: ___________________________________________________________________ Date: ___/___/_____