New Jersey Power of Attorney for a Child
This Power of Attorney is executed in accordance with New Jersey Statutes, Title 3B: 31-1 et seq. It allows for the designation of an individual to make decisions regarding the care and custody of your child in the event that you are unable to do so.
Principal Information:
- Full Name: ____________________________
- Address: ____________________________
- City, State, Zip Code: ____________________________
- Email: ____________________________
- Phone Number: ____________________________
Agent Information:
- Full Name: ____________________________
- Address: ____________________________
- City, State, Zip Code: ____________________________
- Email: ____________________________
- Phone Number: ____________________________
Child Information:
- Full Name: ____________________________
- Date of Birth: ____________________________
Effective Date: This Power of Attorney shall become effective immediately upon signing and shall remain in effect until __________ (insert date or condition of expiration).
Powers Granted: The parent(s) or legal guardian(s) grant the agent the authority to:
- Make decisions regarding the care and custody of the child.
- Authorize medical treatment and consent to medical care.
- Provide for the education of the child.
- Handle regular activities of daily living.
This document must be signed in the presence of a notary public or witnessed by two individuals of legal age.
Signature of Principal: ________________________ Date: __________
Signature of Agent: ________________________ Date: __________
Witness 1: ________________________ Date: __________
Witness 2: ________________________ Date: __________
Please be aware that this document is intended to serve as a template. Individual circumstances may vary, and consultation with a legal professional is advised before finalizing any legal documents.