Massachusetts Power of Attorney for a Child
This document serves as a Power of Attorney specifically for the care of a child, in accordance with Massachusetts General Laws. This Power of Attorney grants legal authority to another individual to make decisions regarding a child's well-being and care.
Principal Information:
- Name: ________________________________
- Address: ________________________________
- Phone Number: ________________________________
Agent Information:
- Name: ________________________________
- Address: ________________________________
- Phone Number: ________________________________
Child Information:
- Name: ________________________________
- Date of Birth: ________________________________
Powers Granted: The Agent is hereby granted the authority to:
- Make decisions regarding the child's education.
- Make decisions regarding medical care and treatment.
- Authorize travel for the child.
- Provide for the child's basic needs.
Duration: This Power of Attorney shall be effective from the date of signing until the following date: ________________________, or until revoked in writing by the Principal.
In witness whereof, the Principal has executed this Power of Attorney on this ____ day of ______________, 20__.
Signature of Principal: ________________________________
Signature of Agent: ________________________________
Witness Information:
- Name: ________________________________
- Address: ________________________________
- Signature: ________________________________
This form should be signed in the presence of a witness to ensure its legality in the state of Massachusetts.