Arizona Power of Attorney for a Child
This Power of Attorney authorizes the designated agent to make decisions for the child in specific situations as outlined below. It is governed by Arizona state laws.
Principal Information:
- Name of Parent/Guardian: ________________________
- Address: ________________________
- Phone Number: ________________________
Child Information:
- Name of Child: ________________________
- Date of Birth: ________________________
- Address: ________________________
Agent Information:
- Name of Agent: ________________________
- Relationship to Child: ________________________
- Address: ________________________
- Phone Number: ________________________
Powers Granted: The agent is granted the following powers:
- To make decisions regarding the child's education.
- To authorize medical treatment and procedures.
- To handle the child's financial matters, if necessary.
- To provide for the child's welfare and safety.
Effective Date: This Power of Attorney shall be effective from __________ until __________ or until revoked in writing.
Revocation: The principal may revoke this Power of Attorney at any time. A written notice must be given to the agent.
Signature:
Signed this _____ day of ______________, 20__.
_________________________
Signature of Parent/Guardian
Notary Acknowledgment:
State of Arizona
County of ______________
Subscribed and sworn before me on this _____ day of ______________, 20__.
_________________________
Notary Public