Care of Children Power of Attorney
for
Your State
Used when both parents wish to grant another party a Power of Attorney for the Care of their Children.

When it becomes necessary to allow someone else to provide for the care of your children, a Power of Attorney for the Care of Children form should be used. This document allows the parents of one or more children (sometimes called the "Principals" or "Grantors") to appoint another person to act as their Attorney-in-Fact (sometimes referred to as Agent) to care for their children. Generally it will be on a temporary basis for a limited amount of time. Although the Power of Attorney for the Care of Children has a beginning and an end date, the Parents can revoke it at any time even before the end date.
This Power of Attorney for the Care of Children allows the Attorney-in-Fact to make decisions for the children in place of the parents, including health care, welfare and education 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 as parents are basically giving temporary custody of the children to the Attorney-in-fact. However, by having this type of document available, the Attorney-in-Fact will be able to better deal with any types of emergency involving the children 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-in-Fact who can provide this type of document.
A different form is available on this site for single parents who have full/sole legal custody of the child/children.
These are just some of the important provisions included in this Power of Attorney for the Care of Children:
Protect Your Rights, Your Property and Yourself, with these accurate and easy to use forms.
This form packet prepared by lawyers includes:
This Power of Attorney for the Care of Children allows the Attorney-in-Fact to make decisions for the children in place of the parents, including health care, welfare and education 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 as parents are basically giving temporary custody of the children to the Attorney-in-fact. However, by having this type of document available, the Attorney-in-Fact will be able to better deal with any types of emergency involving the children 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-in-Fact who can provide this type of document.
A different form is available on this site for single parents who have full/sole legal custody of the child/children.
These are just some of the important provisions included in this Power of Attorney for the Care of Children:
- Name and addresses: Identity and location of Grantors (Parents) and Agent;
- Names of Child(ren): Name(s) and date(s) of birth of Child(ren);
- Powers granted to Agent: The listing of various powers that the Parents granted to the Agent, including making decisions about health care, education, living and powers to sue and protect legal rights;
- Effective dates: The dates the Power of Attorney will remain in effect;
- Reimbursements: Agent will be reimbursed all reasonable expenses;
- Notary Acknowledgment Block: It is important for the document to be notarized and avoids problems later if it's validity is ever challenged.
Protect Your Rights, Your Property and Yourself, with these accurate and easy to use forms.
This form packet prepared by lawyers includes:
- Instructions and Checklist for Power of Attorney for the Care of Children
- Information about Power of Attorney for the Care of Children
- Power of Attorney for the Care of Children Form
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
Power of Attorney for the Care of Children
This Packet Includes:
1. General Instructions & Checklist
2. Information
3. Power of Attorney for the Care of Children
General Instructions & Checklist
Power of Attorney for the Care of Children
Both Parents need to sign the Power of Attorney for the Care of Children
The Parents should sign the Power of Attorney for the Care of Children document before a Notary.
The original Power of Attorney for the Care of Children document should be given to the Attorney-in-Fact.
The Parents should keep a copy of the Power of Attorney for the Care of Children document for their records.
At least one witness should sign the Power of Attorney for the Care of Children. Although not always required, it is always a good idea to also have two witnesses sign the Power of Attorney. The witnesses should be adults. Generally, anyone related by blood or marriage to the Parents, Attorney-in-Fact or Notary should not be a witness.
The Parents should be careful giving instructions to the Attorney-in-Fact. The Parents 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 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 Disclaimers and Terms of Use found at findlegalforms.com
Information
Power of Attorney for the Care of Children
Whenever it becomes necessary to allow someone else to provide for the care of your children, 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 to 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 need 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, including 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 giving temporary custody of the children to the Attorney-in-fact.
By having this type of document available, the Attorney-in-Fact will be able to better deal with any types of emergency involving the children 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-in-Fact 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 children 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 the 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 always 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’t 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, this 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 instructions.
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”) 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-Fact, 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 at 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.
DISCLAIMER:
FindLegalForms, Inc. (“FLF”) is not a law firm and does not provide legal advice. The use of these materials is not a substitute for legal advice. Only an attorney can provide legal advice. An attorney should be consulted for all serious legal matters. No Attorney-Client relationship is created by use of these materials.
THESE MATERIALS ARE PROVIDED “AS-IS.” FLF DOES NOT GIVE ANY EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY, SUITABILITY OR COMPLETENESS FOR ANY OF THE MATERIALS FOR YOUR PARTICULAR NEEDS. THE MATERIALS ARE USED AT YOUR OWN RISK. IN NO EVENT WILL: I) FLF, ITS AGENTS, PARTNERS, OR AFFILIATES; OR II) THE PROVIDERS, AUTHORS OR PUBLISHERS OF ITS MATERIALS, BE RESPONSIBLE OR LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATE OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER USED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THESE MATERIALS.
POWER OF ATTORNEY FOR THE CARE OF CHILDREN
KNOW ALL PERSONS BY THESE PRESENTS:
We ______________________________________________________ (“Father”) and ______________________________________ (“Mother”), jointly referred to as “Parents” or “Principals”, maintaining an address at: ________________________________________ hereby make and appoint ________________________________________ (“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 act as the guardian of our minor child/children:
Name: _________________________________ born on __________
Name: _________________________________ born on __________
Name: _________________________________ born on __________
Name: _________________________________ born on __________
Name: _________________________________ born on __________
Name: _________________________________ born on __________
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 our 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, 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 liability 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 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/children 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 any 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, entertainment 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/children may have against any other person or entity.
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 other 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 limited 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 (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 to 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 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 virtue 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 this 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 force 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 third 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 attorney. 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.
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), __________________________ (state).
________________________________
Signature of Father
________________________________
Signature of Mother
Witness Signature: ___________________________________
Name: ___________________________________
City: __________________________________
State: ___________________________________
Witness Signature: ___________________________________
Name: ___________________________________
City: __________________________________
State: ___________________________________
State of __________________________ )
) ss
County of ________________________ )
The foregoing instrument was acknowledged before me this _____ day of ____________________, ______ by __________________________ (name of Principal), who is personally known to me or who has produced ________________________________ as identification.
_________________________________
Signature of person taking acknowledgment (Notary Public)
_________________________________
Name typed, printed, or stamped
State of __________________________ )
) ss
County of ________________________ )
The foregoing instrument was acknowledged before me this _____ day of ____________________, ______ by __________________________ (name of Principal), who is personally known to me or who has produced ________________________________ as identification.
_________________________________
Signature of person taking acknowledgment (Notary Public)
_________________________________
Name typed, printed, or stamped
Number of Pages7
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#16687
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
Power of Attorney for the Care of Children
This Packet Includes:
1. General Instructions & Checklist
2. Information
3. Power of Attorney for the Care of Children
General Instructions & Checklist
Power of Attorney for the Care of Children
Both Parents need to sign the Power of Attorney for the Care of Children
The Parents should sign the Power of Attorney for the Care of Children document before a Notary.
The original Power of Attorney for the Care of Children document should be given to the Attorney-in-Fact.
The Parents should keep a copy of the Power of Attorney for the Care of Children document for their records.
At least one witness should sign the Power of Attorney for the Care of Children. Although not always required, it is always a good idea to also have two witnesses sign the Power of Attorney. The witnesses should be adults. Generally, anyone related by blood or marriage to the Parents, Attorney-in-Fact or Notary should not be a witness.
The Parents should be careful giving instructions to the Attorney-in-Fact. The Parents 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 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 Disclaimers and Terms of Use found at findlegalforms.com
Information
Power of Attorney for the Care of Children
Whenever it becomes necessary to allow someone else to provide for the care of your children, 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 to 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 need 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, including 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 giving temporary custody of the children to the Attorney-in-fact.
By having this type of document available, the Attorney-in-Fact will be able to better deal with any types of emergency involving the children 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-in-Fact 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 children 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 the 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 always 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’t 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, this 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 instructions.
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”) 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-Fact, 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 at 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.
DISCLAIMER:
FindLegalForms, Inc. (“FLF”) is not a law firm and does not provide legal advice. The use of these materials is not a substitute for legal advice. Only an attorney can provide legal advice. An attorney should be consulted for all serious legal matters. No Attorney-Client relationship is created by use of these materials.
THESE MATERIALS ARE PROVIDED “AS-IS.” FLF DOES NOT GIVE ANY EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY, SUITABILITY OR COMPLETENESS FOR ANY OF THE MATERIALS FOR YOUR PARTICULAR NEEDS. THE MATERIALS ARE USED AT YOUR OWN RISK. IN NO EVENT WILL: I) FLF, ITS AGENTS, PARTNERS, OR AFFILIATES; OR II) THE PROVIDERS, AUTHORS OR PUBLISHERS OF ITS MATERIALS, BE RESPONSIBLE OR LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATE OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER USED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THESE MATERIALS.
POWER OF ATTORNEY FOR THE CARE OF CHILDREN
KNOW ALL PERSONS BY THESE PRESENTS:
We ______________________________________________________ (“Father”) and ______________________________________ (“Mother”), jointly referred to as “Parents” or “Principals”, maintaining an address at: ________________________________________ hereby make and appoint ________________________________________ (“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 act as the guardian of our minor child/children:
Name: _________________________________ born on __________
Name: _________________________________ born on __________
Name: _________________________________ born on __________
Name: _________________________________ born on __________
Name: _________________________________ born on __________
Name: _________________________________ born on __________
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 our 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, 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 liability 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 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/children 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 any 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, entertainment 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/children may have against any other person or entity.
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 other 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 limited 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 (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 to 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 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 virtue 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 this 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 force 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 third 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 attorney. 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.
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), __________________________ (state).
________________________________
Signature of Father
________________________________
Signature of Mother
Witness Signature: ___________________________________
Name: ___________________________________
City: __________________________________
State: ___________________________________
Witness Signature: ___________________________________
Name: ___________________________________
City: __________________________________
State: ___________________________________
State of __________________________ )
) ss
County of ________________________ )
The foregoing instrument was acknowledged before me this _____ day of ____________________, ______ by __________________________ (name of Principal), who is personally known to me or who has produced ________________________________ as identification.
_________________________________
Signature of person taking acknowledgment (Notary Public)
_________________________________
Name typed, printed, or stamped
State of __________________________ )
) ss
County of ________________________ )
The foregoing instrument was acknowledged before me this _____ day of ____________________, ______ by __________________________ (name of Principal), who is personally known to me or who has produced ________________________________ as identification.
_________________________________
Signature of person taking acknowledgment (Notary Public)
_________________________________
Name typed, printed, or stamped
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