Pennsylvania Power of Attorney for a Child
This Power of Attorney is governed by Pennsylvania law, specifically Act 95 of 2018. It allows the parent or guardian of a child to grant specific authority to another individual for the care of their child.
By completing this document, you are officially granting authority to another person to make decisions concerning your child. Please fill in the blanks with the appropriate information.
Parties Involved
Principal: This refers to the parent or guardian who is granting the Power of Attorney.
- Name: ________________________________
- Address: ______________________________
- City, State, Zip: ______________________
- Email: ________________________________
- Phone Number: _________________________
Agent: This refers to the person who will be granted the authority to act on behalf of the Principal.
- Name: ________________________________
- Address: ______________________________
- City, State, Zip: ______________________
- Email: ________________________________
- Phone Number: _________________________
Child Information
Child's Full Name: ______________________________
Date of Birth: ______________________________
Authority Granted
The following authorities are granted to the Agent for the duration of this Power of Attorney:
- To make decisions regarding the care, custody, and welfare of the child.
- To enroll the child in school and other educational programs.
- To authorize medical treatment and make health care decisions.
- To apply for and receive benefits as necessary (including but not limited to medical and educational benefits).
Effective Date
This Power of Attorney becomes effective upon signing and will remain in effect until:
_______________________________ (insert end date or condition for termination).
Signatures
By signing below, the Principal acknowledges and authorizes this Power of Attorney in accordance with Pennsylvania law.
Principal's Signature: ________________________________
Date: ________________________________
Agent's Signature: ________________________________
Date: ________________________________
Please note that it is advisable to have this document notarized to enhance its validity. Make sure to keep copies for all parties involved.