$10.99

Add to cart

Pennsylvania ate -6- l and accurate record of all actions, receipts and disbursements on behalf of the principals and the child/children. ______________________________ Signature of Agent _______________________________ D of the principals and the child/children. I shall keep the assets of the principal and the child/children separate from my assets. I shall exercise reasonable caution and prudence. I shall keep a ful Principals. I hereby acknowledge that in the absence of a specific provision to the contrary in the power of attorney or in 20 Pa.C.S. when I act as agent: I shall exercise the powers for the benefit_______ Name typed, printed, or stamped -5- Acknowledgment by Agent I, ___________________________________, have read the attached power of attorney and am the person identified as the Agent for theown to me or who has produced ________________________________ as identification. _________________________________ Signature of person taking acknowledgment (Notary Public) __________________________of ________________________ ) The foregoing instrument was acknowledged before me this _____ day of ____________________, ______ by __________________________ (name of Principal), who is personally kn________________________________ Signature of person taking acknowledgment (Notary Public) _________________________________ Name typed, printed, or stamped -4- State of PENNSYLVANIA ) ) ss County his _____ day of ____________________, ______ by __________________________ (name of Principal), who is personally known to me or who has produced ________________________________ as identification. _y: __________________________________ State: ___________________________________ State of PENNSYLVANIA ) ) ss County of ________________________ ) The foregoing instrument was acknowledged before me t_______________ City: __________________________________ State: ___________________________________ Witness Signature: ___________________________________ Name: ___________________________________ Citennsylvania. ________________________________ Signature of Father ________________________________ Signature of Mother Witness Signature: ___________________________________ Name: ____________________We may revoke this Power of Attorney before the expiration date at any time by providing written notice to the Attorney-in-Fact. Signed on ________________ (date), at _______________________ (city), Pney. If this Power of Attorney is terminated by operation of law, any person relying in good faith on the authority of this document, without notice of such termination, shall be held harmless. -3- d party until the third party has actual knowledge of the revocation. We agree to indemnify the third party for any claims that arise against the third party because of reliance on this power of attorforce and effect and not be affected by any partial invalidity. Any third party who receives a copy of this document may act under it. Revocation of the power of attorney is not effective as to a thiris Power of Attorney. If any part of this document is held to be invalid, illegal or unenforceable under applicable law, then the remaining unaffected parts of the document shall still remain in full tue of this power of attorney and the rights hereby granted. The Attorney-in-Fact shall be entitled to reimbursement of all reasonable expenses incurred as a result of carrying out any provision of th to the contents of this document and understand the full import of this grant of powers to the Attorney-in-Fact named herein. We hereby ratify and confirm all acts by the Attorney-in-Fact done by virto the adoption of our child/children. This power of attorney shall be in effect from _______________ to _______________ ("expiration date"). By signing here, we indicate that we are fully informed as(i) have the authority to withhold or withdraw life sustaining procedures for any child/children; (ii) have the power to consent to the marriage of our child/children; (iii) have the power to consent ted to consent forms, releases, waivers, insurance documents, claims, agreements, contracts and legal documents. Notwithstanding other provisions in this Power of Attorney, Attorney-in-Fact shall not r type of claim against any health or other type of insurance company. 6. Endorse and execute any documents necessary for the performance of the powers granted by this document, including but not limidren may have against any other person or entity. -2- 5. Apply for, purchase, maintain and/or deal with any health and other insurance for our child/children and to make and file any medical or othement and other customary matters. 4. Request, ask, demand, sue and take any and all legal steps necessary on behalf of our child/children and to adjust, compromise and settle any claim, our child/chilny group, organization or educational facility. 3. Maintain the customary living standard of the child/children, including, but not limited to, provisions of living quarters, food, clothing, entertaindren in any educational programs, schools and extracurricular activities; review any school records of the child/children; allow our child/children to participate in activities and events offered by a administration of anesthesia, X-ray examination, performance of operations, diagnostic and other procedures. 2. Determine the education of our child/children and to register and enroll our child/chilability required by medical, dental or other health authorities incident to the provision of medical, surgical or dental care to our child/children. Health care shall include but not be limited to the dentists, nurses, or other person whose services may be needed for such health care; review and if necessary disclose the contents of any medical records; execute any consent, release or waiver of liur above named child/children, including, but not limited to, the powers to: 1. Provide for, approve, authorize and decline any health care at any hospital or other institution; employ any physicians,_ The above named Attorney-in-Fact shall have the power and authority to act entirely in loco parentis and to do all acts necessary or desirable for maintaining the health, education, and welfare of o_____ born on __________ Name: _________________________________ born on __________ Name: _________________________________ born on __________ Name: _________________________________ born on _________ct as the guardian of our minor child/children: Name: _________________________________ born on __________ Name: _________________________________ born on __________ Name: _____________________________ ("Attorney-in-Fact") maintaining an address at: _____________________________________________________ as our true and lawful agent and attorney-in-fact for us and in our name, and in our behalf to a______ ("Mother"), jointly referred to as "Parents" or "Principals", maintaining an address at: ________________________________________ hereby make and appoint ______________________________________________________ Date __________________________ Date -1- KNOW ALL PERSONS BY THESE PRESENTS: We ______________________________________________________ ("Father") and ____________________________________ Name of Principal / Grantor (Father) _________________________________ Signature of Principal / Grantor (Mother) _________________________________ Name of Principal / Grantor (Mother) ___________PLAIN IT TO YOU. I HAVE READ OR HAD EXPLAINED TO ME THIS NOTICE AND I UNDERSTAND ITS CONTENTS. _________________________________ Signature of Principal / Grantor (Father) _____________________________OF AN AGENT UNDER A POWER OF ATTORNEY ARE EXPLAINED MORE FULLY IN 20 PA.C.S. CH. 56. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER OF YOUR OWN CHOOSING TO EXKE THESE POWERS OR A COURT ACTING ON YOUR BEHALF TERMINATES YOUR AGENT'S AUTHORITY. A COURT CAN TAKE AWAY THE POWERS OF YOUR AGENT IF IT FINDS YOUR AGENT IS NOT ACTING PROPERLY. THE POWERS AND DUTIES DUE CARE TO ACT FOR YOUR BENEFIT AND THE BENEFIT OF THE CHILDREN AND IN ACCORDANCE WITH THIS POWER OF ATTORNEY. YOUR AGENT MAY EXERCISE THE POWERS GIVEN HERE UNTIL THE EXPIRATION DATE, UNTIL YOU REVOLD/CHILDREN WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. THIS POWER OF ATTORNEY DOES NOT IMPOSE A DUTY ON YOUR AGENT TO EXERCISE GRANTED POWERS, BUT WHEN POWERS ARE EXERCISED, YOUR AGENT MUST USERE OF CHILDREN NOTICE TO PRINCIPALS / GRANTORS: THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE THE HEALTH, CARE AND WELFARE OF YOUR CHIat any time. ATTORNEY-IN-FACT: By accepting or acting under the appointment, the Attorney-in-Fact assumes the fiduciary and other legal responsibilities of an agent. -3- POWER OF ATTORNEY FOR THE CAt, within the scope of this power of attorney document, is legally binding upon you. If you have any questions about these powers, obtain competent legal advice. You may revoke this power of attorney ) are providing another person ("Attorney-in-Fact") with the power to handle and control the care, custody, health and welfare of your child/children. Any such action undertaken by the Attorney-in-Fac. -2- CAUTION! PARENTS: The powers granted by this Power of Attorney for the Care of Children document are broad and sweeping. Before signing this document, consider its consequences. You ("Parents"s information is general information that is not state specific. Whenever appropriate, the instructions included with the forms packages offered for sale, generally include state specific instructionst require that a Power of Attorney be witnessed, it is always a very good idea to do so. Please note that this information is not intended as and is not a substitute for legal advice. Furthermore, thialways be notarized, even if your state does not require it. Notarization will make it more difficult for any third party to challenge the validity of the Power of Attorney. Although, some states don'e Care of Children has a beginning and an "end/expiration" date, the Parents can revoke the document at any time even before the expiration date. The Power of Attorney for the Care of Children should ren are being entrusted to the Attorney-in-Fact. The Parents should also be careful in instructing the Attorney-in-Fact as to what the Attorney-in-Fact should do. Although the Power of Attorney for thact who can provide this type of document. The Parents should be very careful in the selection of the Attorney-in-Fact, as the powers granted by this document are very broad and sweeping and the childen and can avoid potential problems when, for example, arranging for medical, dental or any other type of care. Medical personnel will also generally feel more comfortable dealing with an Attorney-inFg temporary custody of the children to the Attorney-infact. By having this type of document available, the Attorney-in-Fact will be able to better deal with any types of emergency involving the childrng health care, education and welfare decisions. This can be useful if the parent will be absent for a period of time. The powers granted by this instrument are very broad. Parents are basically givineed to be a lawyer. Almost anyone can be appointed an Attorney-in-Fact by a power of attorney. This form allows the Attorney-in-Fact to make decisions for the children in place of the parents, includito act as their Attorney-in-Fact to care for their children. The word "attorney" is not used here to mean "lawyer". The person acting as the Attorney-in-Fact for the Parents or the children does not nildren, a Power of Attorney for the Care of Children form can be used. This document allows parents of one or more children (sometimes called the "Principals" or "Grantors") to appoint another person laimers and Terms of Use found at findlegalforms.com -1- Information Power of Attorney for the Care of Children Whenever it becomes necessary to allow someone else to provide for the care of your ch for legal advice. These forms should only be a starting point for you and should not be used without consulting with an attorney first. [_] The purchase and use of these forms, is subject to the Discents should also be very careful in the selection of the Attorney-in-Fact, as the powers granted by this document are very broad and sweeping. [_] These forms are not intended and are not a substitute [_] The Parents should keep a copy of the Power of Attorney for the Care of Children document for their records. [_] The Parents should be careful giving instructions to the Attorney-in-Fact. The Par Acknowledgement at the bottom of the Power of Attorney for the Care of Children document. [_] The original Power of Attorney for the Care of Children document should be given to the Attorney-in-Fact.ennsylvania, the Principal must also sign the "Notice to Principal" at the beginning of the Power of Attorney document. [_] In Pennsylvania, the Agent (i.e. the Attorney-in-Fact) will have to sign then the presence of two witnesses (who will also have to sign the document). The witnesses must not be under 18 and should not be related by blood or marriage to the Principal, Agent or Notary. [_] In PPrincipals (i.e. the parents granting the power of Attorney) must be mentally competent and must sign the document before a Notary. [_] In Pennsylvania, the Power of Attorney also needs to be signed ind (3) additional useful information about Power of Attorney for the Care of Children documents. [_] Both Parents need to sign the Power of Attorney for the Care of Children. [_] In Pennsylvania, the Instructions & Checklist Pennsylvania Power of Attorney for the Care of Children [_] This package contains a (1) Power of Attorney for the Care of Children; (2) simple instructions plus a checklist; a Pennsylvania