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Illinois Power of Attorney for a Child

This Power of Attorney form is established for the purpose of designating an individual to make medical and educational decisions for a child in accordance with Illinois law.

The undersigned parent(s)/guardian(s), [Parent/Guardian Name], residing at [Address], and [Additional Parent/Guardian Name], residing at [Address], hereby appoints the following individual as the Attorney-in-Fact for our child:

[Agent's Name], residing at [Agent's Address].

This Power of Attorney shall become effective on [Effective Date] and shall remain in effect until [End Date or "revoked by the undersigned"].

The Attorney-in-Fact shall have the authority to:

  • Make medical decisions on behalf of the child, including but not limited to consent for treatment, surgery, and other medical care.
  • Make educational decisions, including enrolling the child in school, signing report card releases, and decisions related to the child's education.
  • Make decisions regarding the child's welfare and any other issues that may arise in the absence of the parent(s)/guardian(s).

The child covered by this Power of Attorney is:

[Child's Name], born on [Child's Date of Birth].

This Power of Attorney is intended to be governed by the laws of the State of Illinois.

In witness whereof, the undersigned has executed this Power of Attorney as of the [Date].

______________________________
[Parent/Guardian Name]
Signature

______________________________
[Additional Parent/Guardian Name]
Signature

______________________________
[Agent's Name]
Signature

Witnessed by:

______________________________
[Witness Name]
Signature

______________________________
[Witness Address]

Similar forms

  • Guardianship Agreement: This document establishes a legal relationship where one person is given the authority to care for a child. Like the Power of Attorney for a Child, it allows someone other than the parents to make decisions on behalf of the child, but it typically lasts longer and may involve court approval.
  • Medical Authorization Form: This form grants permission for someone to make medical decisions for a child. Similar to the Power of Attorney for a Child, it ensures that a trusted individual can act quickly in emergencies, especially when parents are unavailable.
  • Power of Attorney Form: This essential document allows you to appoint someone to manage your affairs and make decisions on your behalf. For more information, visit pdftemplates.info/power-of-attorney-form.
  • Temporary Custody Agreement: This document is often used when parents need to temporarily transfer custody of their child to another person. It shares similarities with the Power of Attorney for a Child by allowing another adult to make decisions and provide care, but it is usually more formal and may require legal documentation.
  • Parental Consent Form: This form allows parents to give permission for specific activities, such as travel or participation in events. Like the Power of Attorney for a Child, it helps ensure that a child can engage in activities under the care of another adult, providing a clear record of parental approval.