Illinois Power of Attorney for a Child Template
This document serves as a Power of Attorney for a Child in the state of Illinois, allowing a designated agent to make decisions on behalf of a child. This form complies with the relevant Illinois laws concerning powers of attorney.
Principal Information:
Name of Parent/Guardian: _____________________________
Address: _____________________________________________
City, State, Zip: _____________________________________
Phone Number: _______________________________________
Agent Information:
Name of Agent: ______________________________________
Address: _____________________________________________
City, State, Zip: _____________________________________
Phone Number: _______________________________________
Child Information:
Name of Child: ______________________________________
Date of Birth: ________________________________________
Address: _____________________________________________
City, State, Zip: _____________________________________
Authority Granted:
The undersigned hereby appoints the above-named agent to act on behalf of the principal’s child in the following areas:
- Healthcare decisions
- Educational decisions
- Travel and transportation arrangements
- Payment for medical and educational expenses
- Any other necessary decisions regarding the child’s welfare
Duration of Power of Attorney:
This Power of Attorney shall commence on: ___________ and shall remain in effect until: ___________ (or until revoked).
Signatures:
In witness whereof, the undersigned has executed this Power of Attorney for a Child on this ____ day of __________, 20__.
__________________________
Signature of Parent/Guardian
__________________________
Signature of Agent
Witness Information:
Witness Name: _______________________________
Witness Signature: ___________________________
Date: _______________________________________
Note: It is recommended to consult with a legal professional to ensure compliance with all relevant laws and personal circumstances.