Florida Power of Attorney for a Child
This document serves as a Power of Attorney for a child, according to Florida state law. It allows a designated individual to make decisions on behalf of a child when the parent or guardian is unavailable.
Important: This form should be completed and signed by the parent or legal guardian of the child.
Parent/Guardian Information:
- Full Name: _________________________
- Address: ___________________________
- City: _______________________________
- State: ______________________________
- Zip Code: __________________________
- Phone Number: ______________________
Child Information:
- Full Name: _________________________
- Date of Birth: ______________________
Designated Agent Information:
- Full Name: _________________________
- Address: ___________________________
- City: _______________________________
- State: ______________________________
- Zip Code: __________________________
- Phone Number: ______________________
This Power of Attorney gives the designated agent the authority to:
- Make educational decisions for the child.
- Authorize medical treatment for the child.
- Make travel arrangements for the child.
- Provide for the child's daily needs.
Duration: This Power of Attorney is valid from ______________ to ______________.
Signature:
By signing below, I confirm the information provided is true and that I grant the authority as outlined above to the designated agent.
Signature of Parent/Guardian: ________________________
Date: _____________________
Witness Information:
- Witness Name: ______________________
- Witness Signature: ___________________
- Date: ______________________________