Michigan Power of Attorney for a Child
This Michigan Power of Attorney for a Child Form allows a parent or guardian to grant certain powers regarding the care and custody of a child to another person, in accordance with Michigan law. Please complete all sections accurately.
Section 1: Child's Information
Full Legal Name of Child: _________________________
Date of Birth (MM/DD/YYYY): ______________________
Child's Residential Address: ______________________
City: ____________________, State: MI, Zip: ________
Section 2: Parent/Guardian Information
Full Legal Name of Parent/Guardian: ________________
Relationship to Child: ____________________________
Parent/Guardian Address: __________________________
City: ____________________, State: MI, Zip: ________
Section 3: Attorney-in-Fact Information
Full Legal Name of Attorney-in-Fact: _______________
Relationship to Child: ____________________________
Address of Attorney-in-Fact: _______________________
City: ____________________, State: MI, Zip: ________
Section 4: Powers Granted
The parent/guardian grants the following powers to the attorney-in-fact concerning the child for a period not exceeding six months, as permitted under Michigan law:
- Make decisions regarding the child's education.
- Make decisions regarding medical care for the child.
- Authorize the child to participate in extracurricular activities.
- Make decisions regarding the child's travel.
- Perform other acts necessary for the child's care and well-being.
Section 5: Effective Period
This Power of Attorney shall become effective on (MM/DD/YYYY): ______________ and shall remain in effect until (MM/DD/YYYY): ______________, not to exceed six months from the effective date, as per Michigan law.
Section 6: Signatures
This document must be signed by the parent/guardian, the attorney-in-fact, and a witness or a notary public to be legally valid.
Parent/Guardian Signature: _______________________ Date: _________
Attorney-in-Fact Signature: ______________________ Date: _________
Witness/Notary Public Signature: _________________ Date: _________
This form does not replace legal advice. Consider consulting a legal professional in Michigan for specific guidance and to ensure this document meets all legal requirements and is appropriate for your situation.