Pennsylvania Power of Attorney for a Child
This document allows a parent or legal guardian in Pennsylvania to appoint another individual as a representative for their child. This arrangement is useful in various situations where a parent cannot be present to make decisions on behalf of their child.
The purpose of this Power of Attorney is to grant authority concerning the care and custody of the child named below, while complying with the relevant laws of the Commonwealth of Pennsylvania.
Child's Information:
- Name: _______________________________
- Date of Birth: ________________________
- Address: _____________________________
Parent or Legal Guardian's Information:
- Name: _______________________________
- Address: _____________________________
- Phone Number: ________________________
This Power of Attorney will empower the designated individual to make decisions regarding:
- Health care treatment and medical decisions.
- Education and schooling matters.
- General care and day-to-day needs of the child.
Designated Representative's Information:
- Name: _______________________________
- Address: _____________________________
- Phone Number: ________________________
Effective Date: ______________________
Expiration Date: ______________________
This Power of Attorney is hereby granted under the authority of the laws pertaining to Powers of Attorney in Pennsylvania. The parent or legal guardian may revoke this Power of Attorney at any time through written notice.
Signed this ____ day of __________, 20____.
Signature of Parent or Legal Guardian: _________________________________