Georgia Power of Attorney for a Child Template
This Power of Attorney for a Child ("Document") is crafted in accordance with the laws of the State of Georgia, specifically referencing the Georgia Code Title 19, Chapter 9, which covers the delegation of power by a parent or guardian. This Document permits a parent or legal guardian (the "Principal") to grant certain powers regarding the care and custody of one or more minor children to another person (the "Agent").
1. Principal Information:
Full Name: __________________________________________________________
Address: _____________________________________________________________
City, State, Zip: ______________________________________________________
Contact Number: ______________________________________________________
2. Child(ren) Information:
To whom the Power of Attorney will apply. Include all children being covered by this Document.
- Name: _______________________________ Date of Birth: _______________
- Name: _______________________________ Date of Birth: _______________
- Name: _______________________________ Date of Birth: _______________
3. Agent Information:
Full Name: __________________________________________________________
Address: _____________________________________________________________
City, State, Zip: ______________________________________________________
Contact Number: ______________________________________________________
4. Powers Granted:
Specify below the exact powers being granted to the Agent. These can include, but are not limited to, decisions regarding education, medical care, and general welfare of the child(ren).
- ________________________________________________________________
- ________________________________________________________________
- ________________________________________________________________
5. Term:
The effective date of this Power of Attorney and, unless revoked, its duration.
Effective Date: ____________________________
Expiration Date: ____________________________ (Not to exceed one year from the effective date as per Georgia Code)
6. Signature Section:
This Document must be signed in the presence of a Notary Public to be legally valid.
Principal’s Signature: __________________________________________ Date: ________________
Principal’s Printed Name: _________________________________________
Agent’s Signature: _____________________________________________ Date: ________________
Agent’s Printed Name: ___________________________________________
State of Georgia
County of ____________________
Subscribed and sworn before me on this _____ day of _______________, 20___
Notary Public Signature: _________________________________________
Printed Name: ___________________________________________________
My Commission Expires: _______________
7. Acknowledgement by Child(ren) of Appropriate Age:
If the child is of sufficient age and understanding, they may acknowledge their understanding of the arrangement.
Child’s Signature: ______________________________________________ Date: ________________
Child’s Printed Name: _____________________________________________
This template is designed to provide a general outline for a Georgia Power of Attorney for a Child. It is recommended that you consult with a legal professional to ensure that your specific needs are met and that the document complies with current Georgia laws.