Montana Power of Attorney for a Child
This Power of Attorney document is designed to grant authority to an individual to make decisions on behalf of a child in Montana. This form complies with Montana state laws regarding the delegation of parental authority.
Principal Information:
- Name of Parent/Guardian: ___________________________
- Address: ___________________________________________
- City, State, Zip: _________________________________
- Phone Number: _____________________________________
Agent Information:
- Name of Agent: _____________________________________
- Address: ___________________________________________
- City, State, Zip: _________________________________
- Phone Number: _____________________________________
Child Information:
- Name of Child: ______________________________________
- Date of Birth: ______________________________________
- Address: ___________________________________________
Authority Granted:
The undersigned grants the Agent the authority to make decisions regarding the following:
- Medical care and treatment.
- Education and school-related matters.
- Travel arrangements.
- Other matters as specified: ___________________________
Effective Date: This Power of Attorney shall become effective on the date signed and shall remain in effect until revoked in writing.
Signature:
______________________________
Parent/Guardian Signature
Date: ________________________
Notarization:
State of Montana
County of ______________________
Subscribed and sworn to before me this _____ day of ____________, 20__.
______________________________
Notary Public Signature
My commission expires: _____________