Ohio Power of Attorney for a Child
This document serves as a Power of Attorney for a Child in the state of Ohio. It allows a parent or guardian to appoint an agent to make decisions on behalf of a minor child. This document is governed by Ohio Revised Code Section 1337.24.
Principal Information:
- Name of Parent/Guardian: ___________________________
- Address: ___________________________________________
- Phone Number: ______________________________________
Agent Information:
- Name of Agent: _____________________________________
- Address: ___________________________________________
- Phone Number: ______________________________________
Child Information:
- Name of Child: ______________________________________
- Date of Birth: ______________________________________
- Address: ___________________________________________
Powers Granted:
The undersigned grants the following powers to the Agent:
- To make medical decisions for the child.
- To enroll the child in school or daycare.
- To authorize emergency medical treatment.
- To handle any other necessary decisions regarding the child’s welfare.
Effective Date:
This Power of Attorney shall become effective on the following date: ____________________.
Termination:
This Power of Attorney shall remain in effect until: ____________________ or until revoked in writing by the Principal.
Signature:
By signing below, the Principal affirms that they are the parent or legal guardian of the child and that they understand the powers granted herein.
Signature of Parent/Guardian: ___________________________
Date: ________________________________________________
Notary Public:
State of Ohio
County of ______________________
Subscribed and sworn before me this ______ day of ______________, 20__.
Notary Public Signature: ________________________________
My Commission Expires: ________________________________