SU VOZ LEGAL

GUIDE FOR A FAMILY PROTECTION PLAN

1. IMMIGRATION OPTIONS
Consult with an immigration attorney to find out about your legal options. An
attorney can tell you what to do to protect yourself and determine if you qualify
for any immigration benefits or relief.
DO NOT CONSULT WITH NOTARIES OR IMMIGRATION
CONSULTANTS. They do not have licenses or authorization to practice law or
provide legal advice.
2. KNOW YOUR RIGHTS
Stay quiet. You have the right to remain silent.
Do not open the door if they come to your house. Ask to see a search warrant
signed by a judge. If you are not given one, or the order does not have your name,
you may refuse to open your door.
Do not sign any documents.
Exercise your right to speak with an attorney and immigration judge.
3. AVOID CRIMINAL ARRESTS AND CHARGES
People with convictions for DUIs, domestic violence, possession of drugs or
weapons, or other crimes are at high risk of being detained. Speak to an attorney
that specializes in criminal law to see if you can clear your record.
Arrests or contact with the police may expose you to being transferred to
immigration authorities.
4. HAVE A FAMILY PLAN
Make sure you have a list of emergency contacts.
Complete a letter of authorization for the care of your children. This will enable
the person responsible make school and medical decisions for your children.
i. Include information of medical conditions, allergies, medications, your
doctors information, and health insurance.
ii. The person responsible should sign the letter as well.
Register your United States Citizen children at the consulate of your home
country.
i. Obtain passports for your United States Citizen and undocumented
children!
Complete a power of attorney. This will allow the person responsible to have
authorization to make decisions of your behalf such as financial, legal, or business
decisions.
Memorize the phone number of a friend or family member you can call in case of
a detention and who will be responsible for getting an immigration attorney for
you.
 SU VOZ LEGAL
5. IN CASE OF ICE DETENTION
Hire someone for your legal defense.
DO NOT accept voluntary departure or an expedited removal.
i. Persons with more than 2 years of physical and continuous presence in the
United States cannot be removed in an expedited manner. Have 2 years of
physical presence with you (documents with your name and the dates).
ii. Persons with more than 10 years of presence in the United States who
have U.S. Citizen or Legal Permanent Resident parents, spouses, or
children have the possibility of applying for Cancellation of Removal in
an immigration court. Keep evidence of your physical and continuous
presence and the legal status of your relatives in a safe and quick place to
obtain.
Ask for an immigration court hearing.
Save money to pay a bond and legal representation.
Be sure to tell family members to use the ICE locator
(https://locator.ice.gov/odls/homePage.do) or call the local ICE office
(https://www.ice.gov/contact/ero). Provide your family members youre youre
A# if you have one.

IMPORTANT INFORMATION ABOUT YOUR CHILDREN OR ELDERLY/SICK

RELATIVES UNDER YOUR CARE
(Complete one for each child/relative!)
Name of Child/Relative
Date of Birth
Childs/Relatives Cellphone Number
(if applicable)
Name of School
School Address
School Phone Number
Teachers Name
Classroom Number
After school program/sport/activity
Program Phone Number
Allergies
Medical Conditions
Medications
Doctors Telephone Number
Doctors Address
Heatlh Insurance Number
 SU VOZ LEGAL
Name of Child/Relative
Date of Birth
Childs/Relatives Cellphone Number
(if applicable)
Name of School
School Address
School Phone Number
Teachers Name
Classroom Number
After school program/sport/activity
Program Phone Number
Allergies
Medical Conditions
Medications
Doctors Telephone Number
Doctors Address
Heatlh Insurance Number

EMERGENCY NUMBERS AND IMPORTANT CONTACT INFORMATION

EMERGENCY NUMBERS
Immediate Emergency
Police Department 911
Fire Department
Poison Control Center
FAMILY CONTACTS
Name of Parent 1 / Guardian
Home Phone Number
Cellphone Number
Work Phone Number
Work Address
Name of Parent 2 / Guardian
Home Phone Number
Cellphone Number
Wotk Phone Number
Work Address
Other emergency contact and relationship
Phone Number of Contact
Other emergency contact and relationship
Phone Number of Contact
Other emergency contact and relationship
Phone Number of Contact
 SU VOZ LEGAL
OTROS CONTACTOS
Name of Doctor
Phone Number of Doctor
Address of Doctor
Health insurance Company
Policy number
Name of Pediatrician
Phone Number of Pediatrician
Address of Pediatrician
Health insurance Company
Policy number
Name of Dentist
Phone Number of Dentist
Address of Dentist
Health insuarance Company
Policy Number
OTHER IMPORTANT INFORMATION
Vehicle Make and Model
License Plate Number
Car Insurance Company
Car Insurance Policy Number
Phone Number of the Company
Vehicle Make and Model
License Plate Number
Car Insurance Company
Car Insurance Policy Number
Phone Number of the Company
Vehicle Make and Model
License Plate Number
Car Insurance Company
Car Insurance Policy Number
Phone Number of the Company

CONSULATE
Address
Phone Number

ATTORNEY
Address
Phone Number
 SU VOZ LEGAL

DECLARATION OF AUTHORIZATION FOR CHILD CARE

(You need a declaration for each child! Keep a copy and give another copy to the person responsible)

Use of this statement is authorized by Part 1.5 (commencing with section 6550) of Division 11 of
the California Family Code. Under California law, schools and health care providers will have to
accept this form if filled out correctly.
IMPORTANT NOTE: If the adult is not a relative, that person must complete Part 1-4 to
authorize enrollment of their children at school and medical care inside the school. If the adult is
a relative, that person must fill out parts 1-8 to authorize their childs enrollment in school and
any medical care.

The child named below lives in my home and I am 18 years of age or older.
1. Name of Minor: __________________________________________________________
2. Date of Birth of Child: _____________________________________________________
3. My name (adult authorized with care): ________________________________________
4. My address: _____________________________________________________________
5. [ ] I am the relative or spouse of the relative of this minor.
6. Select one or both:
[ ] I notified the parent or other person with legal custody of the minor about my
intention to authorize medical care and I have not received any opposition.
[ ] At the moment I cannot contact the parent or other person with legal custody of the
minor to notify them of my intention for authorization.
7. My date of birth: _________________________________________________________
8. My driver license or CA identification number: _________________________________

I declare under penalty of perjury under the laws of the State of California that the foregoing is
true and correct..

Date: _________________________ Signature: _________________________________

 SU VOZ LEGAL

DECLARATION OF AUTHORIZATION FOR ELDERLY/SICK RELATIVE CARE

I, ___________________________________________, hereby voluntarily consent to the

rendering of such care, including diagnostic procedures, surgical and medical treatment and
blood transfusions, by medical doctors, hospitals or their authorized designees, as may in their
professional judgement be necessary to provide for the medical, surgical or emergency care of
my ______________________________________ _______________________________________.
(relationship) (hereafter dependent) Full Name

I further give my consent to ___________________________________________________________,

(hereafter caregiver) Full Name

who will be caring for my dependent from ________________ to _________________, to

arrange for routine or emergency medical and/or dental care and treatment necessary to preserve
the health of my dependent. In the event that my dependent is injured or ill while under the care
of the caregiver, I hereby give permission to the caregiver to provide first aid for said dependent
and to take the appropriate measures, including contacting the Emergency Medical Service
(EMS) system and arranging for transportation to the nearest emergency medical facility.

In making medical decisions on my behalf for the benefit of my dependent, I direct that the
caregiver attempt to contact me. However, if medical care becomes essential, I give permission
to the caregiver to make such decisions regarding such treatment as deemed appropriate by the
medical doctor, hospital or their authorized designee. In furtherance of any treatment decisions
to be made by the caregiver on my behalf for the benefit of my dependent, I authorize the
caregiver to request, obtain, review and inspect any and all information bearing upon my
dependents health and relevant to any such decisions to be made respecting such treatment.
I acknowledge that no guarantees have been made to me as to the effect of such examinations or
treatment on the condition of my dependent and that I am responsible for all reasonable charges
in connection with the care and treatment rendered to my dependent during this period.

Date: ________________ Signature of Legal Guardian: ______________________________

Date: ________________ Signature of Caregiver: __________________________________
Address of Caregiver: ___________________________________________________________
Phone Number of Caregiver: ______________________________________________________
Name of Dependent: ____________________________________________________________
Witness: ________________________ Address: _____________________________________
 SU VOZ LEGAL

POWER OF ATTORNEY
(This letter has to be notarized!)
Done this ____________ day of _________________________________ of year __________.
It is hereby made known to all persons by this means that:
I, ___________________________________________________________________________,
hereby appoint _________________________________________________________________,
as true and legitimate agent to have full power and authority to acto on my behalf in any legal
manner with respect to the following: _______________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________.
(EXAMPLES: Personal and Family Affairs, Real Estate Transactions, Stock and Bond
Transactions, Banks and Other Financial Institutions, Commercial Transactions, Tax Matters,
Insurance and Annuities, Claims and Litigation, State, Trust and Other Beneficiaries,
Retirement Plan, Medicare, government programs or military service benefits, legal services)

And all material pertaining to: _____________________________________________________

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________.

I acknowledge and agree that my agent binds me to all of the terms, obligations and conditions
associated with this form, including repayment obligations.

I understand that my agent can act for me until this power is revoked or terminated. I confirm
that both my agent and I are at least 18 years of age.

Date: _________________________ Signature: _______________________________

 SU VOZ LEGAL

LIST OF IMPORTANT DOCUMENTS

(Keep all of these documents or a copy of them in a safe but quick place to obtain. Let your
relatives know where they can find them in case of an emergency.)
Passports
Birth Certificates
Marriage Licenses (if applicable)
Authorization Statements for persons responsible for the care of your children and
elderly/sick relatives
Any restraining orders you have against anyone (if applicable)
A# and any other immigration documents (work permit, residence card, visa, immigration
application receipts)
Driver license and/or other forms of identification
Social security card (not fake) or ITIN number
Birth registration (for children born in the United States but registered in the country of
origin of their parents)
Important information about your children
Emergency numbers and important contact information
Medical information about your children and elderly/sick relatives under your care,
including health insurance, a list of medications, and information for doctors
Evidence of physical presence in the United States of at least 2 years to try to avoid
expedited removal
Evidence of your physical presence in the United States for at least 10 years to try to fight
a case in immigration court
Any other documents you want to find easily
 SU VOZ LEGAL
KNOW YOUR RIGHTS
ALL PERSONS, DOCUMENTED OR UNDOCUMENTED HAVE RIGHTS IN THIS
COUNTRY!!
Immigration Agents (ICE) that come to your door

If they knock on your door, do not open it. ICE or police officers must have a search
warrant signed by a judge. You have the right not to open the door unless you are shown a
judicial court order that specifically and correctly has your name and address. An ICE
Administrative Warrant, usually Form I-200 or I-205 IS NOT a judicial court order.
Ask to have the order passed under the door or through a window. Make sure it is signed
by a judge and has your correct information. If your information does not appear or is
incorrect, return the order and do not open the door. When you open the door, you lose
certain rights. If they force entry, remain calm and cooperate but stay silent!
Do not speak to Immigration Agents

You are not obligated to speak with immigration agents or answer questions. You have
the right to remain silent. You definitely should not answer about the country in which
you were born, your legal status in the country, or when and how you entered the country.
Do not provide any personal information about yourself or your family members. Do not
present false documents or make false statements. Tell them you want to stay quiet until
you can speak to an attorney.

Do not sign any documents without speaking to an attorney first

Do not sign anything you do not understand or disagree with. They usually make you
sign voluntary departures or expedited removals that may cause you to lose your rights to
speak to an attorney of have a hearing in immigration court.

You have the right to a phone call

Be sure to carry an immigration attorneys phone number with you at all times or to
memorize the telephone number of a relative who will be responsible for contacting an
attorney for you.