New York Power of Attorney for a Child
This document serves as a Power of Attorney for a Child in the state of New York. It allows you to designate someone to make decisions on behalf of your child in your absence. This is particularly useful for various scenarios including travel, medical care, and educational decisions.
As per New York State law, you, the parent or legal guardian, must complete this document with accurate information to ensure it holds legal weight. The appointed agent will have the authority you assign to them.
Principal Information
- Full Name of Parent/Guardian: _________________________
- Address: _________________________
- City, State, Zip Code: _________________________
- Phone Number: _________________________
- Email: _________________________
Child Information
- Child's Full Name: _________________________
- Child's Date of Birth: _________________________
Agent Information
- Full Name of Agent: _________________________
- Address: _________________________
- City, State, Zip Code: _________________________
- Phone Number: _________________________
- Email: _________________________
Authority Granted
By signing below, the parent or legal guardian grants the agent the following powers regarding the child:
- Make educational decisions.
- Consent to medical treatment.
- Travel with the child within and outside of the United States.
- Communicate with schools and doctors.
Duration of Power of Attorney
This Power of Attorney is effective from the date below and will remain in effect until _____________ (insert end date) unless revoked earlier in writing.
Signature
By signing below, I confirm that I am the parent or legal guardian of the above-named child and that I grant the powers listed above to the agent.
Signature of Parent/Guardian: _________________________
Date: _________________________
Witness Signature: _________________________
Date: _________________________