Reply #6: I carry one, and have divorce decree/parenting plan along as well [View All]

[upi402]

(sample from another site, different situation - but gives the idea)

Authorization for Foreign Travel With Minor
To Whom It May Concern:
This letter concerns my child, (full name), a United States citizen and a minor born on (birthdate), who carries a United States passport with the number (passport number).
I affirm that I have legal custody of my child, and that there are no pending divorce or child custody proceedings that involve my child. I give my full authorization and consent for my child to travel outside of the United States with (name of adult traveling w/child), who is the (relationship to child) of my child. The purpose of the travel is (type of travel, ie. cruise vacation).
I have approved the following travel plans:

(detail of travel plans)

Furthermore, I hereby authorize (name of adult from above) to modify the travel plans specified above as he/she deems necessary.
I declare under penalty of perjury under the laws of (State of Residence) that the foregoing is true and correct.

Parent or Legal Guardian

Signature: ________________________ Date: _______________

Name
Address


Day phone:

Evening phone:
Cell Phone/Pager:

Email:

CERTIFICATE OF ACKNOWLEDGMENT OF NOTARY PUBLIC


State of __________ )
) ss.
County of ____________ )
On ____________________, __________ before me, _____________________, a notary public in and for said state, personally appeared _________________________________, personally known to me (or proved on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument, and acknowledged to me that she/he executed the same in her/his authorized capacity, and that by her/his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.

WITNESS my hand and official seal.
__________________________________________________
Notary Public for the State of ________________________
My commission expires: