Michigan Power of Attorney for a Child
This Power of Attorney is governed by the Michigan Compiled Laws and is intended for granting temporary authority to a designated person regarding the care and decisions for a minor child.
By signing this document, I, the undersigned parent/guardian, hereby appoint:
Agent's Name: ________________________________________
Agent's Address: ______________________________________
Agent's Phone Number: ________________________________
This appointment is made concerning my child:
Child's Name: ________________________________________
Child's Date of Birth: ________________________________
The powers granted to the Agent include, but are not limited to, the following:
- Making decisions regarding the child’s education
- Managing the child’s healthcare, including consenting to medical treatment
- Arranging for the child’s travel and accommodations
- Making decisions regarding extracurricular activities
- Any other decisions necessary for the child’s welfare
This Power of Attorney will commence on Date: ________________ and remain in effect until Date: _______________ or until revoked in writing by me.
In signing this document, I affirm that I am the parent or legal guardian of the child named above and that I have the legal authority to grant this Power of Attorney.
Parent/Guardian’s Name: ___________________________________
Parent/Guardian’s Signature: ______________________________
Date: ___________________________________________________
Notarization:
State of Michigan
County of _______________
Subscribed and sworn to before me on this ____ day of ___________, 20__.
Notary Public Signature: ________________________________
My Commission Expires: _________________________________