Washington Power of Attorney for a Child
This Power of Attorney document allows a parent or legal guardian to appoint someone else to make decisions on behalf of their child. This is in accordance with Washington State law.
Parent/Guardian Information:
- Name of Parent/Guardian: ____________________________________
- Address: ______________________________________________________
- Phone Number: _______________________________________________
- Email: _______________________________________________________
Agent Information:
- Name of Agent: ____________________________________________
- Address: ______________________________________________________
- Phone Number: _______________________________________________
- Email: _______________________________________________________
Child Information:
- Name of Child: _____________________________________________
- Date of Birth: ______________________________________________
- Address: ______________________________________________________
This document grants the Agent the authority to make decisions related to:
- Education
- Healthcare
- General welfare
The authority conveyed by this document is effective immediately and will remain in effect until: ________________________________________ (specify a date or event).
By signing below, the parties acknowledge that they understand the contents of this Power of Attorney and the responsibilities that accompany this authority.
Signature of Parent/Guardian: ______________________________________
Date: ______________________________________________________
Signature of Agent: ____________________________________________
Date: ______________________________________________________
Notary Public:
State of Washington, County of __________________________________________________.
Subscribed and sworn before me this ________________ (day) of _______________ (month), ________________ (year).
Notary Signature: ________________________________________________
My Commission Expires: ________________________________________