Kansas Minor Child Power of Attorney Form

The Kansas minor child power of attorney form is a document that will provide documentation for parent(s) to a allow someone else to care for their child(ren) in their absence or during a longer term illness. The document takes into consideration medical care dental work, admission to health care facilities, education and other care involving their child(ren) and decisions regarding the child(ren).

This document will require Notarization. This document may be revoked, by the parent(s), at any time, by placing a notice in writing to the guardian(s) and delivering it to them.

How to Write

Step 1 – The Parties – Enter:

  • Enter the name(s) of the parent(s)
  • AND
  • Enter the name of the guardian(s)

Step 2 – Health Care Decisions – Parent(s) should carefully read this section and complete any lines in the paragraphs as follows:

  • Enter the name(s) of the minor child(ren) in all three lines in this section (If more room is needed, use a blank sheet to place the additional information and attach to this form)

Step 3 – Education Related Decisions –

  • Enter the child(ren’s) names individually in the lines provided (if more room is needed add a sheet and attach to this form)

Step 4 – Titled Sections – The parent(s) should read the following information:

  • Limitations of Authority
  • Effective Time
  • Revocation

Step 5 – Date and Signature (parent(s) – Sign before a Notary

  • Date the signature in dd/mm/yyyy format
  • Parent(s) enter signature on the “xxxx” line

Step 6 – Notary Acknowledgement –

Once the notary has witnessed the signature(s), the notary will then enter all of the required information needed to acknowledge the document and it’s contents.