Ohio Power of Attorney for a Child
This document allows a parent or guardian to delegate authority to another person to make decisions for their child in Ohio. It is important to follow Ohio laws regarding the care and custody of children.
Please fill out the information in the blanks provided below:
I, ________________________________ (Parent/Guardian's Name), of ________________________________ (Address), being the parent/guardian of ________________________________ (Child's Name), born on ________________________________ (Date of Birth), hereby appoint ________________________________ (Agent's Name), of ________________________________ (Agent's Address), as my attorney-in-fact to act in my name and on my behalf regarding the following matters:
- Medical care and treatment.
- Educational decisions.
- Extracurricular activities.
- Travel arrangements.
This power of attorney shall become effective on: ________________________________ (Effective Date) and will remain in effect until: ________________________________ (Expiration Date or Condition).
I understand that I have the right to revoke this power at any time and that the agent's authority does not extend beyond what is specified here.
Signed this ____ day of _____________, 20____.
_________________________
Signature of Parent/Guardian
_________________________
Printed Name of Parent/Guardian
Witnesses:
- ____________________________ (Witness 1 Name and Signature)
- ____________________________ (Witness 2 Name and Signature)
Notarization:
State of Ohio, County of _______________
Subscribed and sworn before me on this ____ day of _____________, 20____.
_________________________
Notary Public
My Commission Expires: ________________