Washington Minor Child Power of Attorney Form

The Washington minor child power of attorney form is a document that will be provided to Attorneys In Fact/Agent(s) by parent(s) or legal guardian(s) with limited powers available, to ensure that the child(ren) may be treated in emergencies. The document is only effective if the parent(s) or legal guardian(s) are readily available. Parent’s or Guardian’s signature are required so that the document will be effective. This document may be revoked at any time.

How to Write

Step 1 – The Parties – Submit the following:

  • Parent(s) or legal guardian’s signature(s)
  • Country
  • Agent’s name
  • Child(ren’s) name(s)
  • Read the remainder of the section

Step 2 – Titled Sections – Review:

  •  Titled sections numbered 2 through 8

Step 3 – Execution and Date of Signature – Submit:

  • Read the declarations
  • Date the signature in mm/dd/yy format
  • City
  • County
  • Parent’s printed name
  • Parent’s signature