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Preview - California Power of Attorney for a Child Form

California Power of Attorney for a Child

This Power of Attorney form is governed by California state laws regarding delegation of parental authority, as stipulated in the California Family Code Section 4000-4025.

This document allows you to designate another individual to act on your child's behalf in specific matters. Please fill in the blanks with the relevant information.

Principal Information (Parent/Guardian):

  • Full Name: ___________________________________
  • Address: ___________________________________
  • City: ___________________________________
  • State: _____________________
  • Zip Code: ____________
  • Email: ___________________________________
  • Phone Number: _____________________________

Agent Information (Designee):

  • Full Name: ___________________________________
  • Address: ___________________________________
  • City: ___________________________________
  • State: _____________________
  • Zip Code: ____________
  • Email: ___________________________________
  • Phone Number: _____________________________

Child Information:

  • Full Name: ___________________________________
  • Date of Birth: ____ / ____ / ________
  • Address: ___________________________________

Powers Granted: This Power of Attorney grants the Agent authority to make decisions regarding:

  1. Medical treatment and healthcare
  2. Education and school enrollment
  3. Travel and transportation
  4. Access to records and information
  5. Other matters as specified: _________________

Effective Date: This Power of Attorney becomes effective on the following date: ____ / ____ / ________.

Termination: This Power of Attorney will remain in effect until ________________ (specify circumstances, e.g., revocation, a specific date, or until the child reaches a certain age).

Please sign below to validate this document:

Principal's Signature: ___________________________________

Date: ____ / ____ / ________

Witnesses:
1. ___________________________________
2. ___________________________________

Notary Public:
State of California
County of ________________

Subscribed and sworn before me on this ____ day of ____________, 20____.

__________________________
Notary Public Signature

Similar forms

  • Medical Power of Attorney: Similar to the Power of Attorney for a Child, this document allows a designated person to make medical decisions on behalf of another individual, particularly when that individual is unable to do so due to illness or incapacity.
  • General Power of Attorney: This broader form grants someone the authority to act on behalf of another person in various matters, including financial and legal decisions, not limited to the care of a child.
  • Lady Bird Deed: To simplify the process of property transfer, refer to our detailed guide on the Lady Bird Deed that highlights key benefits and requirements.
  • Guardianship Agreement: This document establishes a legal relationship where one person is given the authority to care for and make decisions for a child, often in situations where the parents are unable to do so.
  • Temporary Custody Agreement: This agreement allows a designated individual to take care of a child for a limited time, often used in emergencies or when parents are temporarily unavailable.
  • Child Care Authorization: This document permits a caregiver to make decisions regarding a child's daily care, including education and health, similar to the powers granted in a Power of Attorney for a Child.
  • Advance Healthcare Directive: While primarily focused on adults, this document outlines a person's healthcare preferences and appoints someone to make decisions when they cannot, akin to a medical Power of Attorney.
  • Trust Agreement: A trust can be established to manage a child's assets, providing a similar protective role in terms of financial management as a Power of Attorney does for decision-making.
  • Letter of Intent: Though not legally binding, this document communicates a parent’s wishes regarding the care and upbringing of their child, similar to how a Power of Attorney outlines intentions for decision-making.
  • Special Needs Trust: This is a specific type of trust designed to benefit a child with special needs, ensuring they receive care and support, paralleling the protective role of a Power of Attorney.
  • Parental Consent Form: This form is often required for various activities, such as school trips or medical treatments, granting permission similar to the authority given in a Power of Attorney for a Child.