Florida Power of Attorney for a Child
This document serves as a template for a Florida Power of Attorney for a Child, designed to grant authority to a specific individual regarding the care and welfare of a minor child. This legal instrument is valid in accordance with Florida Statutes, Title XLIII, Chapter 709.
Grantor Information:
- Name: _____________________________________
- Address: ___________________________________
- City, State, Zip: __________________________
- Phone Number: _____________________________
- Email Address: _____________________________
Agent Information:
- Name: _____________________________________
- Address: ___________________________________
- City, State, Zip: __________________________
- Phone Number: _____________________________
Child Information:
- Name: _____________________________________
- Date of Birth: _____________________________
- Address: ___________________________________
This Power of Attorney grants the Agent the following authority concerning the minor child:
- To make decisions regarding the child’s education and attendance at school.
- To authorize any necessary medical treatment or procedures.
- To make decisions related to the child’s welfare, including housing and support.
- To communicate with any necessary individuals or institutions regarding the child.
This Power of Attorney is effective from ____________________ (start date) to ____________________ (end date), unless revoked in writing by the Grantor prior to the expiration date.
Signature of Grantor: _______________________________
Date: _________________________________________
Witness Information:
- Name: _____________________________________
- Address: ___________________________________
- Signature: __________________________________
- Date: ______________________________________
Notary Public:
State of Florida, County of ________________
Subscribed and sworn before me this _____ day of ________________, 20__.
Signature of Notary Public: _______________________________
My Commission Expires: ________________________________