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Preview - Michigan Power of Attorney for a Child Form

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: ________________________________

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