North Carolina Power of Attorney for a Child
This Power of Attorney allows a parent or guardian to designate another individual to make decisions on behalf of their child in North Carolina. It is essential to ensure that these decisions are made in the best interest of the child.
Parent/Guardian Information:
- Name: ___________________________
- Address: _________________________
- City: ____________________________
- State: ___________________________
- Zip Code: ________________________
- Phone Number: ___________________
Agent/Attorney-in-Fact Information:
- Name: ___________________________
- Address: _________________________
- City: ____________________________
- State: ___________________________
- Zip Code: ________________________
- Phone Number: ___________________
Child’s Information:
- Name: ___________________________
- Date of Birth: ___________________
- Address: _________________________
This document grants the Agent the authority to take various actions on behalf of the child.
Authority Granted:
- To make healthcare decisions for the child.
- To enroll the child in school and participate in school activities.
- To make travel arrangements for the child.
- To access the child's medical records.
This Power of Attorney will be effective as of ________________________ and will remain in effect until ________________________.
Signatures:
______________________________
Parent/Guardian Signature
Date: ______________________
______________________________
Agent Signature
Date: ______________________