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This pamphlet is for you if you:
Reside in a home built before 1978.
Own or Operate a child care facility, including preschools and kindergarten classrooms, built before 1978, or
Have a child under six years of age who attends a child care facility built before 1978.
You will learn:
Did you know that many homes built before 1978 have lead-based paint? Lead from paint, chips, and dust can pose serious health hazards.
Read this entire brochure to learn:
How lead gets into the body
About health effects of lead
What you can do to protect your family
Where to go for more information
This form is called a “Power of Attorney Delegating Parental Powers.” The instructions explain how to fill out and use the form. The purpose of the form is for a parent or guardian to delegate his or her parental authority over a child to another adult so that the other adult can make parenting decisions for the child. While we are providing the form in English and Spanish to assist Spanish speakers in filling out the form, the form should be filled out in English because most schools, hospitals, doctors’ offices, and other organizations will only accept the form in English.
“Este formulario se le llama un “Poder Notarial Para Delegar La Patria Potestad.” Las instrucciones explican cómo llenar y usar el formulario. El propósito del formulario es para que un padre o tutor legal pueda delegar su autoridad paterna sobre un niño a otro adulto para que el otro adulto pueda hacer decisiones paternas para el niño.
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