Georgia Power of Attorney for a Child
This document serves as a Power of Attorney for a child in the state of Georgia. It allows a parent or legal guardian to designate another individual to make decisions regarding the child’s welfare, education, and health care. This form is in accordance with Georgia state laws governing powers of attorney.
Principal Information:
- Full Name of Parent/Guardian: ______________________________
- Address: _______________________________________________
- Phone Number: _________________________________________
Child Information:
- Full Name of Child: _____________________________________
- Date of Birth: _________________________________________
- Address: _____________________________________________
Attorney-in-Fact Information:
- Full Name of Attorney-in-Fact: __________________________
- Address: _______________________________________________
- Phone Number: _________________________________________
Duration of Power of Attorney:
This Power of Attorney shall commence on ____________________ and shall remain in effect until ____________________, unless revoked earlier by the Principal.
Scope of Authority:
The Attorney-in-Fact shall have the authority to make decisions regarding:
- Education and school-related matters.
- Health care decisions, including medical treatment and emergency care.
- General welfare and daily care of the child.
Signatures:
By signing below, the Principal acknowledges that they understand the nature and effect of this Power of Attorney.
Signature of Parent/Guardian: ____________________________
Date: _______________________________________________
Witness Information:
Witnessed by:
Signature of Witness: ________________________________
Date: _______________________________________________
Notary Public:
State of Georgia, County of ____________________________
Subscribed and sworn before me on this ____ day of ____________, 20__.
Signature of Notary Public: ________________________________
My Commission Expires: ________________________________