Protect Your Children with a Temporary Guardianship Letter

Whenever you must leave your child in the custody of a relative for more than a few days, you should write a letter confirming your desire to designate them as temporary guardians and outlining the parameters of the guardianship. 

For your temporary guardianship letter, use our sample temporary guardianship letters as templates.

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Sample 1 - Temporary Guardianship Letter For Medical

Your Name
Your Address
City, State, Zip Code

Watercolor painting woman typing on a sleek black laptop


Guardian’s Name
Guardian’s Address
City, State, Zip Code

RE: Temporary Guardianship of minor child, Name of Child

This letter is a legally binding document that gives [Name of Guardian] temporary guardianship of [Name of Child].

The guardianship will be effective from [DATE] to [DATE]. [Name of Guardian] will be allowed to make any decisions regarding medical treatments or other types of permission required by the child during this period.

We will be in India on business during the time given in this letter and will not be easily available to make decisions if any medical treatment is required for our son.

We can be reached at [Address of Hotel], [Phone Number of Hotel] or by email at [Email Address].

The child’s doctor is [Name of Doctor] and her phone number is [Phone Number]. The child’s dentist is [Name of Dentist] and his phone number is [Phone Number]. A copy of this letter will be given to both doctors.


Your Signature
Your Printed Name

Sample 2 - Temporary Guardianship Letter For Grandparents

William and Elizabeth Smith
120 Jisco West Rd.
Jackson, Ohio 45640


Kimberly and Jamie Harr
98745 St. Rt. 149
Rosemount, Ohio 45662

Re: Temporary Guardianship of Minor Child, Adreauna Smith

From [DATE till DATE], William and Elizabeth Smith give temporary custody of our daughter, Andrea Ford, to grandparents, Jamie and Kimberly Harr.

This Temporary Guardianship Letter will serve as a legal and binding document that will allow them to obtain medical treatment and to make any decisions regarding the needs of our child for this period.

We will be in Europe on business for the dates listed above. We will not be able to provide medical treatment and see to the needs of our child during these time periods.

Trusting in good faith, Jamie and Kimberly Harr, we allow temporary guardianship so they may make decisions regarding our child’ care.

The address of the hostel that we will be staying in is 7890 Piccadilly Square, London, England.

The phone number there is +44 20 8988 8300. Since London is five hours ahead of the United States, consideration must be made when calling.

The child’s medical doctor is Jill Neff at McCarty Lane Pediatrics in Jackson. Their phone number is 555-286-5245.

Adreauna’s dentist is Dr. Rebo at Rebo Health Professionals , and the phone number is 555-286-0989. A copy of this letter will be on file at both locations.


William and Elizabeth Ford

Sample 3 - Temporary Guardianship Letter For Travel

[Name of the Child’s Parent or Parents or Legal Guardian]
[Address of the Child’s Parent or Parents or Legal Guardian]
[City, State, Zip Code]

Re: Temporary Guardianship for Travel

To Whom It May Concern:

We, [PARENTS OR LEGAL GUARDIAN’S FULL NAME], are the lawful guardians of our son / daughter, [CHILD’S FULL NAME].

His / Her date of birth is [DATE OF BIRTH], his passport number is [NUMBER] and it expires on [DATE].

Our son / daughter is traveling with [NAME OF RESPONSIBLE PERSON] to New York to attend a Broadway play with his high school drama class.

We give our consent for our son / daughter to travel to New York on [DATE] and return home to Charlottesville on [DATE]. If there are any questions regarding this consent we can be contacted at:

[FATHER’S NAME: phone number, email address]
[MOTHER’S NAME: phone number, email address]
[Parent’s address]
[City, State, Zip Code]

Thank you for your kind consideration in this matter.

[Signature of father]
[Printed full name of the father]

[Signature of mother]
[Printed full name of the mother]
Notarization is required if the child is traveling alone and in the care of airline staff

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