Michigan Power of Attorney for a Child Template
This document serves as a Power of Attorney for a Child in the state of Michigan, governed by Michigan Compiled Laws (MCL) § 700.5101 et seq. It authorizes a designated individual to make decisions on behalf of a minor child.
Please fill in the blanks with the necessary information to customize this template for your needs.
1. Principal Information
Full Name of Parent/Guardian: ___________________________
Address: _______________________________________________
Phone Number: _________________________________________
2. Child Information
Full Name of Child: ____________________________________
Date of Birth: _________________________________________
3. Attorney-in-Fact Information
Full Name of Authorized Individual: ______________________
Address: _______________________________________________
Phone Number: _________________________________________
4. Powers Granted
The Attorney-in-Fact is authorized to make decisions regarding:
- Healthcare and medical treatment
- Education and schooling decisions
- Travel consent and arrangements
- Financial matters related to the child's welfare
5. Duration of Power of Attorney
This Power of Attorney shall remain in effect until: __________________________________.
6. Signatures
By signing below, the Parent/Guardian confirms that they are voluntarily granting this Power of Attorney.
Signature of Parent/Guardian: _________________________
Date: _______________________________________________
Signature of Attorney-in-Fact: ________________________
Date: _______________________________________________
7. Notarization
This section is to be completed by a notary public:
State of Michigan, County of _______________
Subscribed and sworn before me this _____ day of ________, 20__.
Notary Public Signature: _______________________________
My Commission Expires: ________________________________