Florida Power of Attorney for a Child
This document provides a framework for a parent or legal guardian to grant authority to another individual to make decisions on behalf of their child in the state of Florida, according to Florida Statutes § 709.08.
Principal's Information:
- Full Name: _______________________________
- Address: _________________________________
- City, State, ZIP: _________________________
- Phone Number: ____________________________
Agent's Information:
- Full Name: _______________________________
- Address: _________________________________
- City, State, ZIP: _________________________
- Phone Number: ____________________________
Child's Information:
- Full Name: _______________________________
- Date of Birth: ___________________________
Duties of the Agent: The agent shall have the authority to act on behalf of the principal in the following matters:
- Make healthcare decisions for the child.
- Authorize medical treatment.
- Enroll or withdraw the child in school.
- Make decisions regarding travel and activities.
This power of attorney shall commence on the date of signing and shall remain in effect until: _______________________________ or until revoked in writing by the principal.
Principal's Signature: _______________________________
Date: _______________________________
Agent's Signature: _______________________________
Date: _______________________________
Witnesses:
- Witness 1 Name: __________________________
- Witness 1 Signature: ______________________
- Witness 2 Name: __________________________
- Witness 2 Signature: ______________________
This document should be notarized to ensure its validity.