Florida Power of Attorney for a Child
This document is created under the laws of the state of Florida. It allows you to appoint someone to make decisions for your child when you are unavailable. It is important to complete this form accurately to ensure it is valid.
Principal's Information:
- Full Name: _______________________________
- Address: _______________________________
- City: _______________________________
- State: Florida
- Zip Code: _______________________________
- Phone Number: _______________________________
Agent's Information:
- Full Name: _______________________________
- Address: _______________________________
- City: _______________________________
- State: _______________________________
- Zip Code: _______________________________
- Phone Number: _______________________________
Child's Information:
- Full Name: _______________________________
- Date of Birth: _______________________________
- Address: _______________________________
- City: _______________________________
- State: Florida
- Zip Code: _______________________________
Effective Date: This Power of Attorney shall become effective on the date signed and shall remain in effect until _______________________________ (specify a date or event).
Powers Granted: The Agent shall have the following powers regarding the child:
- Make decisions about education.
- Provide consent for medical treatments.
- Make decisions regarding the child’s welfare.
- Authorize school trips and other activities.
- Access all necessary records concerning the child.
Signature: The Principal must sign below:
_______________________________
(Principal's Signature)
_______________________________
(Date)
Witnesses: Signatures of two witnesses are required.
_______________________________
(Witness 1 Signature)
_______________________________
(Date)
_______________________________
(Witness 2 Signature)
_______________________________
(Date)