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Preview - Pennsylvania Power of Attorney for a Child Form

Pennsylvania Power of Attorney for a Child

This document serves as a Power of Attorney for a child under the laws of the Commonwealth of Pennsylvania. It grants an individual the authority to make decisions on behalf of a minor child, ensuring that the child's interests are represented when parents or guardians are unavailable.

Principal (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 Information:

  • Name: ____________________________
  • Date of Birth: ____________________________
  • Address: ____________________________

This Power of Attorney becomes effective on the following date: ____________________________.

Authority Granted:

The Agent granted authority through this document may act on behalf of the Principal regarding the following matters:

  1. Health care decisions
  2. Educational decisions
  3. Travel and relocation decisions
  4. Financial matters pertaining to the minor child

Limitations:

The Agent is not authorized to make the following decisions:

  1. To place the child for adoption
  2. To consent to the child’s marriage or divorce
  3. To consent to invasive medical procedures without prior consultation

Duration:

This Power of Attorney will remain in effect until revoked by the Principal or until the following date: ____________________________.

By signing below, I acknowledge the grant of authority to the Agent for the specified purposes and accept the terms outlined above.

Principal Signature: ____________________________

Date: ____________________________

Witness Signature: ____________________________

Date: ____________________________

Notary Public: ____________________________

Date of Notarization: ____________________________

Similar forms

  • General Power of Attorney: This document allows an individual to appoint someone else to manage their financial and legal affairs. Similar to the Power of Attorney for a Child, it grants authority to act on behalf of another person, but it typically covers a broader range of responsibilities.
  • Medical Power of Attorney: This form enables someone to make healthcare decisions on behalf of another individual. Like the Power of Attorney for a Child, it focuses on decision-making authority but is specifically tailored to medical situations.
  • Guardianship Agreement: This legal document establishes a guardian for a minor child. It shares similarities with the Power of Attorney for a Child in that both designate someone to act in the best interest of a child, though guardianship is often more permanent.
  • Motor Vehicle Bill of Sale: Essential for recording the sale of a vehicle, this form acts as proof of purchase and is necessary for the vehicle registration process. For more details, visit the Motor Vehicle Bill of Sale page.
  • Living Will: A living will outlines an individual's wishes regarding medical treatment in the event they become incapacitated. While it does not appoint someone to act on behalf of another, it serves a similar purpose of ensuring that someone’s preferences are respected.
  • Consent to Medical Treatment: This document allows a parent or guardian to authorize medical care for a child. It is similar to the Power of Attorney for a Child in that it grants authority for making decisions regarding a child’s health, but it is often more limited in scope.
  • Trust Agreement: A trust can be established to manage assets for a minor. Both a trust agreement and a Power of Attorney for a Child involve managing a child’s welfare, but a trust typically focuses on financial matters rather than legal or medical decisions.
  • Temporary Custody Agreement: This document allows for the temporary transfer of custody of a child to another individual. It resembles the Power of Attorney for a Child in that it involves the care of a child, but it is often used for shorter durations and specific situations.