Florida Power of Attorney for a Child
This Power of Attorney for a Child document is designed in accordance with the Florida Statutes, allowing a parent or guardian to grant certain powers regarding the care and custody of a child to an appointed agent. Please complete all sections with accurate information to ensure the document's validity.
1. Child's Information:
- Full Name: _______________________________
- Date of Birth: ____________________________
- Place of Birth: ___________________________
- Primary Address: __________________________
2. Parent/Guardian Information:
- Full Name: _______________________________
- Relationship to Child: ____________________
- Primary Address: __________________________
- Contact Number: ___________________________
3. Agent Information:
- Full Name: _______________________________
- Relationship to Child: ____________________
- Primary Address: __________________________
- Contact Number: ___________________________
4. Powers Granted:
This document grants the following powers to the appointed agent:
- To seek and provide medical treatment and healthcare decisions for the child.
- To make educational decisions, including the right to enroll the child in school and attend school meetings.
- To provide for the child's food, lodging, and travel.
- To handle matters of the child’s personal care and custody.
5. Term:
The Power of Attorney shall commence on ____________ (date) and shall remain effective until ____________ (date), unless terminated earlier by the undersigned parent or guardian.
6. Signatures:
This document must be signed by the parent or legal guardian granting the powers, the agent accepting the powers, and a notary public to be valid.
_____________________________ ____________
Parent/Guardian Signature Date
_____________________________ ____________
Agent Signature Date
State of Florida, County of _______________
This document was acknowledged before me on ____________ (date) by _________________________ (name/s of person/s who acknowledged).
_____________________________ ____________
Notary Public Signature Date
My commission expires: _______________