New Hampshire Minor Child Power of Attorney Form

The New Hampshire minor child power of attorney form is a document that is provided by a parent to provide powers to a Guardian who will temporarily provide care and custody for the parent(s) child(ren) in the absence of the parent(s).

The signatories must enter their signatures in the presence of a Notary Public. The parent(s) may revoke the document at any time, in writing and deliverable to the Guardian(s)

How to Write

Step 1 – The Child(ren) and Parties – The Parent(s) must enter the following:

  • The name(s) of the child(ren)
  • Child(ren’s) dates of birth in dd/mm/yyyy format
  • AND
  • Enter the name(s) of the Parent(s)
  • Check the applicable box
  • Enter the parent(s) street address
  • City
  • State
  • Enter the Co-parent/guardian’s name
  • Check the appropriate box
  • Enter the street address
  • City
  • State

Step 2 – Guardian/Agent Information –

  • Enter the name of the appointed Guardian
  • Enter the name(s) of the Child(ren)
  • City
  • State

Step 3 – Delegation of Guardian’s Powers –

  • The Parent(s) must provide information with regard the powers they are willing to provide for the care of their Child(ren)
  • Check the box that best indicates the powers that the parent(s) would like to grant to the Guardian(s)
  • OR
  • The parent(s) may specify limited powers
  • Enter the date of commencement of this document in mm/dd/yyyy format
  • Enter the Ending date in mm/dd/yyyy format

Step 4 – Signatures – must only be signed before a notary:

  • Parent(s) must provide signature(s)
  • Printed Names of Parent(s)

Step 5 – Acceptance by Guardian(s) – The Guardian(s) must read the statement provided:

  • Enter the Guardian(s) Signature(s)
  • Printed Name(s)
  • Date of Signature(s) in mm/dd/yyyy format

Step 6 – Witness Affirmations – The witnesses must review the statements:

  • Each witness must submit their respective signatures
  • Printed names
  • Date the signatures in mm/dd/yyyy format

Step 7 – Notarization-

Once the Notary Public has witnessed signatures of all signatories, the Notary will provide the completion of the document in acknowledgement