Michigan Power of Attorney for a Child
This document appoints a Power of Attorney in accordance with Michigan laws. It allows you to designate a trusted adult to make decisions for your child in your absence.
Principal Information:
- Full Name: ___________________________
- Address: ___________________________
- City: ___________________________
- State: Michigan
- Zip Code: ___________________________
- Date of Birth: ___________________________
Child's Information:
- Full Name: ___________________________
- Address: ___________________________
- City: ___________________________
- State: Michigan
- Zip Code: ___________________________
- Date of Birth: ___________________________
Agent Information:
- Full Name: ___________________________
- Address: ___________________________
- City: ___________________________
- State: ___________________________
- Zip Code: ___________________________
Effective Date: This Power of Attorney becomes effective on: ___________________________.
Authority Granted: The Agent shall have the authority to make decisions regarding:
- Medical care
- Educational decisions
- Travel arrangements
- Any other necessary decisions concerning the welfare of the child
While this Power of Attorney is effective, I understand that I retain the right to revoke it at any time. This revocation must be made in writing and delivered to the Agent listed above.
Principal's Signature: ___________________________
Date: ___________________________
Witness Signature: ___________________________
Date: ___________________________
Notary Public:
State of Michigan
County of ___________________________
On this ____ day of ___________, 20____, before me, the undersigned, a Notary Public in and for said County, personally appeared ___________________________, known to me to be the person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same.
My Commission Expires: ___________________________