Michigan Power of Attorney for a Child
This document allows a parent or legal guardian to give another person the authority to make decisions for their child. This Power of Attorney is governed by Michigan law.
Principal Information:
- Full Name: ________________________________
- Address: ________________________________
- City, State, Zip: ________________________________
- Phone Number: ________________________________
Child Information:
- Full Name: ________________________________
- Date of Birth: ________________________________
- Address: ________________________________
Agent Information:
- Full Name: ________________________________
- Address: ________________________________
- City, State, Zip: ________________________________
- Phone Number: ________________________________
Scope of Authority:
The agent shall have the authority to act on behalf of the principal in matters related to:
- Medical decisions
- Education
- Travel
- Other: __________________________________
Effective Date:
This Power of Attorney will become effective on: ________________________________.
Expiration Date:
This Power of Attorney will remain in effect until: ________________________________.
By signing below, the principal grants authority to the agent as outlined above.
Signature of Principal: ________________________________
Date: ________________________________
Witnessed By:
Name: ________________________________
Signature: ________________________________
Date: ________________________________
This template is meant for guidance only. Confirm that it meets your specific needs and complies with state requirements.