This form is used by Indiana school departments to officially document third-party custody of a student. When a parent cannot provide direct care, the school requires this legal document before the custodian can take responsibility for the student's educational welfare.
Students who may need this form include those experiencing parental abandonment, lack of financial support from parents, or situations where parents live outside the United States without maintaining a home in any Indiana school corporation. The custodian named on this form agrees to take on all parental duties related to the student's enrollment, attendance, and cooperation with school corporation policies.
The form collects the following information: the student's full name, address, and schools attended; the specific reason for requiring third-party custody; the custodian's personal details; and an affirmation under the penalties of perjury that all statements are accurate and truthful. Both the custodian and an authorized school corporation representative must sign and date the document.
This custodial arrangement remains in effect until either party gives written notice of termination to the school. Because this is a legally binding document, every detail entered on the form must be verified for accuracy before signing.
| Question | Answer |
|---|---|
| Form Name | Custodial Statement And Agreement Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | indiana education third party custody form, form ii third custody, agreement third party custody template, custodial form indiana |
| Jurisdiction | Indiana Department of Education |
| Governing Law | Indiana Code I.C. 20-26-11-3 |
| Form Purpose | Third-party custodial arrangement for student school enrollment |