Indiana Power of Attorney for a Child
This Power of Attorney for a Child document is to be used by parents or guardians who wish to grant another individual temporary authority to make decisions and act on behalf of their child(ren) in the state of Indiana. It is designed to comply with the relevant provisions of Indiana law, but users should ensure it fits their specific circumstances and may seek legal advice if necessary.
Please fill in the blanks to complete this document:
I/We, ________________________ (Parent/Guardian's Full Name), residing at _______________________________ (Full Address, City, Indiana, Zip Code), hereby appoint ___________________________________ (Full Name of Attorney-in-Fact) of _________________________________________ (Full Address, City, Indiana, Zip Code), as the legal attorney-in-fact to act on behalf of my/our child(ren):
- Name of Child: __________________________, Date of Birth: _______________
- Name of Child: __________________________, Date of Birth: _______________ (Add more as necessary)
This Power of Attorney shall grant the attorney-in-fact the authority to make decisions regarding:
- Medical care, including any medical treatment or surgery.
- Education, including the authority to enroll the child in school and attend school meetings.
- Travel, including the authority to travel with the child within or outside the state of Indiana.
- General welfare decisions necessary for the child's well-being.
This Power of Attorney is subject to the following conditions:
- The term of this Power of Attorney shall be from ___________ (Start Date) to ___________ (End Date), unless earlier revoked by me/us in writing.
- The attorney-in-fact shall not have the authority to consent to the marriage or adoption of the child.
- Any decision made by the attorney-in-fact shall be in the best interests of the child.
In accordance with Indiana law, this Power of Attorney must be signed in the presence of a notary public.
Parent/Guardian's Signature: _______________________________ Date: ___________
Second Parent/Guardian's Signature (if applicable): _________________________ Date: ___________
Attorney-in-Fact's Signature: __________________________________ Date: ___________
State of Indiana
County of _________________
This document was acknowledged before me on (date) ___________ by (name of parent/guardian) __________________________ and (name of attorney-in-fact) __________________________.
Notary Public's Signature: _______________________________
(Seal)