Arizona Power of Attorney for a Child
This document is a Power of Attorney for a Child, created pursuant to the laws of the State of Arizona. It allows a parent or legal guardian to designate another adult to make decisions on behalf of their child. Please fill in the relevant information as indicated in the blanks.
Principal Information:
Name: _______________________________
Address: _____________________________
City: ________________________________
State: __________ Zip Code: __________
Phone Number: ________________________
Child Information:
Name of Child: ________________________
Date of Birth: ________________________
Address of Child: _____________________
City: ________________________________
State: __________ Zip Code: __________
Agent Information:
Name of Agent: ________________________
Relationship to Child: ________________
Address: _____________________________
City: ________________________________
State: __________ Zip Code: __________
Phone Number: ________________________
Effective Date:
This Power of Attorney will be effective from the date signed until revoked or until the child reaches the age of majority, whichever occurs first.
Authority Granted:
The Agent is granted the authority to:
- Make decisions regarding the child's education.
- Provide consent for medical treatment.
- Make decisions regarding the child's welfare.
- Manage the financial affairs of the child.
Signature:
Principal's Signature: ___________________________
Date: _________________________________________
Witness Information:
Name of Witness: ______________________________
Address of Witness: ___________________________
Witness Signature: ____________________________
Date: _________________________________________
This document should be kept in a safe place, and copies should be provided to the Agent and any relevant parties involved in the child's care.