Special Needs Child Guardian Appointment Letter

Date:

To Whom It May Concern,

I, , parent/legal guardian of , born on , do hereby appoint as the legal guardian of my child for all matters relating to their care and well-being.

This appointment is being made due to .

Child's Name:
Date of Birth:
Appointed Guardian's Name:
Relationship to Child:
Guardian's Address:
Guardian's Phone:

This appointment will remain in effect until or until otherwise revoked in writing.

Sincerely,