This Pennsylvania Power of Attorney for Care of Children is designed for use by a custodial parent who has full and sole custody of a child or children. This Power of Attorney gives the attorney-in-fact the rights to make important decisions such as those involving medical care and education. This Power of Attorney is perfect for a parent who often travels for work or is planning an extended vacation as it can be revoked at any time.

It is crucial that the custodial parent be extremely cautious in choosing and instructing their attorney-in-fact as to their exact wishes regarding the children’s welfare. A well-written Power of Attorney for the care of your children when you are the custodial parent will prove invaluable in the event there are disagreements or misunderstandings surrounding the care of your children.

This Pennsylvania Power of Attorney for Care of Children/Custodial Parent contains the following provisions:

• Notice to Principal/Grantor: This Notice is given to the custodial parent signing the document and explains that the powers granted are broad. By signing the grantor acknowledges that he or she understands the powers given and contents of the Power of Attorney;
• Names of Parent/Children: Sets out the name of custodial parent and names and birthdates of the children;
• Appointment: The name and address of the individual who is appointed as attorney-in-fact;
• Powers: The specific powers given the attorney-in-fact of the children including approval and authorization for health or medical care, education, standard of living and maintaining health care for the children;
• Effective Date: The dates the Power of Attorney shall be in effect;
• Revocation: This Power of Attorney may be revoked at any time by grantor giving written notice to the attorney-in-fact;
• Signatures: The Power of Attorney must be signed and dated by the parent in the presence of two witnesses and a notary public;
• Acknowledgment by Agent: The person named as attorney-in-fact must acknowledge and sign.

Protect your Family and your Rights by using our attorney prepared up-to-date forms.

This attorney-prepared packet contains:

1. General Instructions & Checklist
2. Information
3. Pennsylvania Power of Attorney for Care of Children/Custodial Parent

State Law Compliance: This form complies with the laws of Pennsylvania