Ohio Power of Attorney for a Child Template
This Power of Attorney for a Child is created in accordance with Ohio law. It allows a parent or guardian to designate another adult to make decisions on behalf of their child.
Parent/Guardian Information:
- Name: ___________________________
- Address: _________________________
- Phone Number: ____________________
- Email: ___________________________
Child Information:
- Name: ___________________________
- Date of Birth: ____________________
- Address: _________________________
Attorney-in-Fact Information:
- Name: ___________________________
- Address: _________________________
- Phone Number: ____________________
- Email: ___________________________
Effective Period:
This Power of Attorney shall be in effect from __________ (start date) to __________ (end date) unless revoked sooner by the parent/guardian.
Authority Granted:
The Attorney-in-Fact shall have the authority to make decisions regarding the following:
- Medical care and treatment
- Education and schooling
- Travel arrangements
- Other matters relating to the welfare of the child
Signatures:
This Power of Attorney must be signed in the presence of a notary public.
Parent/Guardian Signature: ______________________ Date: _______________
Witness Signature: ____________________________ Date: _______________
Notary Public:
State of Ohio, County of _______________
Subscribed and sworn before me this ______ day of __________, 20__.
Notary Public Signature: ________________________________
My commission expires: _________________________________