Florida Power of Attorney for a Child
This document serves as a Power of Attorney for a child, in accordance with Florida state laws. It allows you to appoint someone to make decisions on behalf of your child when you are unable to do so.
Child's Information:
- Full Name: __________________________
- Date of Birth: ______________________
Parent/Guardian Information:
- Full Name: __________________________
- Address: ____________________________
- Phone Number: ______________________
Agent's Information:
- Full Name: __________________________
- Address: ____________________________
- Phone Number: ______________________
Duration of Power of Attorney:
- Start Date: _________________________
- End Date: __________________________
Powers Granted: The Parent/Guardian grants the Agent the authority to:
- Make medical decisions for the child.
- Consent to or refuse treatment.
- Access the child’s educational records.
- Make decisions regarding the child’s welfare and living arrangements.
Signatures:
This Power of Attorney for a Child must be signed in the presence of a notary public.
Parent/Guardian Signature: ___________________________
Date: ________________
Agent Signature: ____________________________________
Date: ________________
Notary Public:
State of Florida
County of ________________
Subscribed and sworn to before me this ______ day of __________, 20__.
Notary Public Signature: ___________________________
My Commission Expires: ____________________________