Iowa Power of Attorney for a Child
This document serves to create a Power of Attorney for a Child in accordance with Iowa state laws, allowing a designated individual to act on behalf of a child in various situations. This template is intended to empower parents or guardians to make informed decisions for their child’s welfare.
Parent/Guardian Information:
- Full Name: __________________________________
- Address: ____________________________________
- City, State, Zip Code: ________________________
- Phone Number: ________________________________
- Email Address: _______________________________
Child Information:
- Full Name: __________________________________
- Date of Birth: ________________________________
- Address: ____________________________________
- City, State, Zip Code: ________________________
Agent Information:
- Full Name: __________________________________
- Relationship to Child: ________________________
- Address: ____________________________________
- City, State, Zip Code: ________________________
- Phone Number: ________________________________
- Email Address: _______________________________
Authority Granted:
The Parent/Guardian hereby grants the Agent the authority to make decisions regarding the following:
- Medical care and attention.
- Education and schooling matters.
- Travel and vacation arrangements.
- Emergency services when necessary.
Duration of Power of Attorney:
This Power of Attorney shall be effective from the date signed and shall remain in effect until ______________________ (insert expiration date or state conditions for revocation).
Signature of Parent/Guardian:
_________________________ (signature) Date: __________________
Witness Information:
Witness Name: _______________________________
Witness Signature: __________________________
Date: ______________________________________
Please note: This document should be completed in the presence of a notary public to ensure its validity.