 | California Minor Child Power of Attorney Form |
The California minor child financial power of attorney form is s document that temporarily assigns parental, custody or guardian rights to someone trusted by the parent(s) using a power of attorney for Child(ren). With this document, another person will have legal authority for health, medical and other major decisions, with certain limitations, when the biological parent(s) is/are absent. A power of attorney for a child or children, is most often used by parents to allow them to temporarily make decisions for the child(ren) when the parent(s) are otherwise unavailable. A power of attorney for child(ren), in the state of California is valid for 6 months. By the end of 6 months either the parent(s) will re-assume responsibility for their children or a new document must be executed just prior to expiration to ensure the child(ren) are always able to be cared for.
How To Write
Step 1 – Begin by downloading the form.
- In the first two lines of the form, enter the name(s) of the parent(s) who will be granting temporary power, with regard to their child(ren)
- Check the box that applies as to whether it is the parent(s) or court(s) who are initiating this document
- Enter the physical residence where the child(ren) currently reside
- Appoint the Attorney in Fact/agent – Enter the name and physical address of the appointee
- Enter the telephone number(s) 0f the Attorney in Fact/Agent/Appointee
- Enter the relationship to the parent(s)
- Enter the name(s) of the minor children, if more room is required, add a sheet of paper with the information regarding the children and attach to this form
- Enter the initial physical residential address for the child(ren)
- Enter the telephone number(s) with whom the child(ren) currently reside
- Enter the name(s) and date of birth for each of the children (if more room is required, add a sheet with additional children’s information and attach to this sheet
- Select from the boxes, which scenario will take place from the following:
- will become effective (check one):
- immediately
- on , , 201
- upon the deaths, incapacity, or absence of all parents/guardians listed above
- Or
- the occurrence of the following triggering event(s)
- AND
- The document will terminate:
- 60 days
- on the day of , , 201
- Or
- the occurrence of the following triggering event(s)
Step 2 – Parent(s) must carefully read the following paragraphs and make selections where they’re called for.
- In the first paragraph, the subject is regarding the parent(s) choice with regard to the children in the event of their inability to any longer care for the children and whether they would choose appropriate foster care, adoption or if they would prefer family take custody. If the parents wish to forego all other options except custody by family members, check the box at the end of the first paragraph
- Carefully read all of the remaining paragraphs
- At the end of this section more selections must be made with regard to medical care, travel with the Agent(s) and other parental decisions the agent(s) will temporarily assume
- The first selection at the end of this section will be with regard to unlimited travel with the temporary agent(s) with any stated limitations – select one and state any limitations by the parent(s). Make the selection by checking the box before your specific selection
- The next section is with regard to insurance, HIPPA laws and more. The parent(s) must decide how much of the child(ren’s) medical information the agent(s) will be privy to. This will also provide permission for the agent(s) to sign for any medical care.
Step 3 – Signatures – In order for this document to be legal and enforceable, signatures of all involved parties must be provided before a notary public. Once all parties are present before the notary:
- Natural Custodial Parent(s) must provide their signature
- Printed names
- Dates of signing of this document
- AND
- Optionally, for children over the age of 14, nomination of a second Attorney in Fact/agent in the event they may be needed
- AND
- The temporary Attorney(s) in Fact/Agent(s)/Temporary Guardians must provide:
- Signatures
- Printed names
- Date they are signing the document
Step 4 – Final section will be completed by the notary public and their state seal will be affixed.
- They will then hand the document(s) back to the parent(s)
- Copies should be made to all who have been named, agreed and applied signatures, for their records
- Copies should also be made available to schools, doctors or anyone else where the child(ren’s) proper care will be assumed
Step 5 – Revocation of Short Term Guardianship –
The parent(s) may revoke temporary guardianship at any time. Complete the Revocation Form and provide a copy to the temporary guardian(s) and you may resume full custody of your child(ren)
- Complete the form by checking the boxes before your selections
- Enter parent(s) signature(s)
- Printed name(s)
- Dates the Revocation Form is being signed
Step 6 – Additional information with regard to child(ren) to be held by the temporary guardians – Enter the following (if more child(ren’s) information forms are requires, you may print them or acquire them, complete them and provide them to the temporary guardians, schools, doctors or whomever may be involved in the care of your child(ren)
- All of the sheets are identical per child, follow the same instructions for all of the sheets
- Download the form(s)
- Begin by entering the name of the child
- Enter their nickname (if any)
- Date of Birth
- Last Tetanus booster shot
- List any allergies and/or medications the child may have or need
- In the next line enter the names of any medications prescribed, the frequency in which the child must take the medication and include any other instructions regarding medications and side effects to watch for.
- Enter the name of the family physician
- Physician’s telephone number
- Name of parent(s) and/or guardian(s)
- Physical Address
- Telephone number(s)
- Name someone to be contact in the event of an emergency or otherwise, in case parent(s) and/or guardians are unable to be contacted
- Name of the insurance company
- Group number for insurance
- Signature of Guarantor
- Date this form was completed
- One form is required per child and copies should be made available to all who would be involved in the temporary care of the child(ren)
