Georgia Power of Attorney for a Child Template
This Power of Attorney is created in accordance with the laws of the State of Georgia and is designed to grant authority to a designated individual to make decisions regarding the care and welfare of a child. Use this document to ensure that a trusted individual can act on behalf of a child when necessary.
Principal Information:
- Full Name of Parent/Guardian: ____________________________
- Address: ____________________________
- City, State, Zip Code: ____________________________
- Phone Number: ____________________________
Child Information:
- Full Name of Child: ____________________________
- Date of Birth: ____________________________
- Address (if different from Principal): ____________________________
Attorney-in-Fact Information:
- Full Name of Attorney-in-Fact: ____________________________
- Address: ____________________________
- City, State, Zip Code: ____________________________
- Phone Number: ____________________________
Grant of Authority:
I, ____________________________ (full name of parent/guardian), hereby appoint ____________________________ (full name of attorney-in-fact) as my Attorney-in-Fact to make decisions regarding the care, education, and welfare of my child, ____________________________ (child's name), during my absence or incapacity.
The powers granted include, but are not limited to:
- Making medical decisions for the child.
- Authorizing school enrollment and educational decisions.
- Overseeing daily care and welfare decisions.
Effective Date:
This Power of Attorney shall take effect on ____________________________ (insert date) and shall remain in effect until ____________________________ (insert date or event of revocation).
Signature of Principal: ____________________________
Date: ____________________________
Signature of Witness: ____________________________
Date: ____________________________
Notarization:
State of Georgia
County of ____________________________
Subscribed and sworn to before me this ____ day of ___________, 20__.
Notary Public: ____________________________
My Commission Expires: ____________________________