Oklahoma Minor Child Power of Attorney Form

The Oklahoma Minor Child Power of Attorney Form is a document that is used by a parent or a legal custodian to designate an Attorney In Fact/Agent, to assume the care of the child(ren) in the event of illness or extended absence. The document will temporarily transfer rights to care for the child(ren) just as if the parent or legal custodian would care for the child(ren) if they were present and making decisions for the child(ren) on their own. The document will allow all powers (temporarily) to ensure that the  Child(ren) are well cared for until the return of the custodial parent or guardian.

This document will require all signatures to be applied before a Notary Public. This document may also be revoked at any time, in writing that is delivered or served to the Agent

How to Write

Step 1 – Parent(s) and Child(ren’s) Information – Submit the following:

  • Enter the name of the parent(s) or legal custodian(s)
  • Enter the full name(s) of the child(ren) (add a sheet if there are more than three children)
  • Provide the date(s) of birth for all children

Step 2 – Attorney In Fact/Agent Information – Enter:

  • The full name of the Agent
  • The Agent’s Street address, city, state and zip code
  • Home Phone
  • Work Phone

Step 3 – Parent(s)/Legal Custodian(s) read the statement –

  • Once the statement is read, if the Parent(s)/Legal Custodian(s) agree, the Parent(s) must initial the line preceding the statement
  • If the parent(s) have specific power that must be followed, the parent(s) must initial the line preceding the statement and write in the specific powers the parent(s) would like the Agent to understand and follow closely

Step 4 – Commencement and Termination Dates – This powers document may only be effective for up to 12 months (1 year)

  • Enter the beginning date
  • Enter the ending date
  • Enter the name of the person completing this document

Step 5 – Agent Acceptance of Designation –

  • Enter the name(s) of the child(ren)
  • The Agent must enter their signature
  • Agent’s state of residence
  • Agent’s County of residence

Step 6 – Acknowledgement –

  • The Notary Public shall acknowledge the document, after witnessing all of the signatures by providing all of the state required information and affixing the official seal