Minnesota Power of Attorney for a Child
This Power of Attorney document authorizes an appointed person to make decisions regarding the care and wellbeing of a child, according to the laws of the State of Minnesota. It is vital for parents or legal guardians considering this arrangement to understand that this form does not relinquish parental rights but temporarily delegates decision-making authority concerning the child's care to another adult.
NOTICE: Under Minnesota Statutes, Section 523.24, those executing a Power of Attorney for the care of a child should provide specific authorization for the types of decisions the appointed caregiver can make. This form should only be used for temporary situations as specified by state law and does not serve as a permanent transfer of parental rights.
Power of Attorney Information
Please fill in the required details to complete the Minnesota Power of Attorney for a Child:
- Child's Full Name: ___________________________
- Child's Date of Birth: _______________________
- Parent(s)/Legal Guardian(s) Full Name(s): ____________________________
- Address where the child is presently residing: __________________________________________________
- Appointed Guardian's Full Name: ___________________________
- Appointed Guardian's Address: _________________________________________________________________
- Effective Date of Power of Attorney: _______________________
- Termination Date of Power of Attorney (if applicable): _______________________
Powers Granted
Detail the specific powers granted to the appointed guardian, including but not limited to:
- Decision making related to medical and health care for the child.
- Enrollment and decisions concerning the child's education.
- Authorization for the child to participate in extracurricular activities and other social events.
- Decision making related to travel and overnight stays.
- Any other powers relevant to the care and wellbeing of the child: ____________________________________________
Signature Section
For this Power of Attorney to be valid, it must be signed by the parent(s) or legal guardian(s) in the presence of a notary public or two adult witnesses who are not the appointed guardian. Please fill out this section accordingly.
Parent(s)/Legal Guardian(s) Signature: _______________________________ Date: ____________
Appointed Guardian's Signature: _____________________________________ Date: ____________
This document is not valid unless properly witnessed.
Witness 1 Signature: _____________________________________ Date: ____________
Witness 2 Signature: _____________________________________ Date: ____________
State of Minnesota
County of _____________________
Subscribed and sworn to before me this ____ day of ____________, 20__.
______________________________________
Notary Public/Commissioner of Oaths
This form is intended to be a guide only and should be modified to meet the specific needs of the parties involved. It is highly recommended to consult with a legal professional to ensure compliance with Minnesota law and for advice on any potential legal implications.