North Carolina Power of Attorney for a Child
This document serves as a legal Power of Attorney for a child in North Carolina. It allows a parent or guardian to grant another individual the authority to make decisions on behalf of the child. This document is governed by North Carolina General Statutes.
Below, you will find sections to fill in your information, including the names of the parties involved and the specific powers being granted.
Principal Information
- Parent/Guardian Name: ____________________________
- Address: ______________________________________
- Phone Number: _________________________________
- Email Address: _________________________________
Agent Information
- Agent Name: ____________________________________
- Address: ______________________________________
- Phone Number: _________________________________
- Email Address: _________________________________
Child Information
- Child's Full Name: ______________________________
- Date of Birth: __________________________________
Powers Granted
The following powers are granted to the Agent:
- Medical decisions for the child
- Educational decisions for the child
- Travel arrangements and authorizations
- Access to records and information concerning the child
Duration of Power of Attorney
This Power of Attorney will be effective from ________________ (start date) until ________________ (end date), unless revoked earlier by the Principal.
Revocation
The Principal retains the right to revoke this Power of Attorney at any time. A written notice of revocation must be provided to the Agent and all relevant parties.
Signatures
By signing below, the Principal acknowledges that they are the legal guardian of the child and are granting authority as outlined above:
Principal Signature: _______________________________ Date: ________________
Agent Signature: _________________________________ Date: ________________
Notary Acknowledgment
This document must be notarized to be valid. Please have the document signed in the presence of a notary public.
Notary Public Signature: __________________________ Date: ________________
My Commission Expires: ___________________________