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The Massachusetts Power of Attorney for a Child form is an important legal document that allows a parent or legal guardian to appoint another adult to make decisions on behalf of their child. This form is particularly useful in situations where the parent or guardian is unable to be present due to travel, illness, or other circumstances. It grants authority for various responsibilities, including medical care, education, and general welfare decisions. The form must be completed with specific details, such as the names of the child and the appointed adult, as well as the duration of the authority granted. It is essential to ensure that the document is signed and notarized to be legally binding. Understanding the implications of this form can help parents and guardians make informed decisions about their child's care and well-being in their absence.

Massachusetts Power of Attorney for a Child Example

Massachusetts Power of Attorney for a Child

This Power of Attorney for a Child document is specifically tailored for use in the Commonwealth of Massachusetts. It authorizes a designated person, known as the attorney-in-fact, to make certain decisions and perform specific tasks on behalf of the child. It is crafted in accordance with Massachusetts laws to ensure its effectiveness within the state.

Please complete the following information to prepare your Power of Attorney document:

  1. Full name of the parent(s) or legal guardian(s) granting this power: ___________________________
  2. Full legal name of the child: ___________________________
  3. Child's date of birth (MM/DD/YYYY): ___________________________
  4. Full name of the attorney-in-fact (individual who will be granted authority): ___________________________
  5. Relationship of the attorney-in-fact to the child: ___________________________
  6. Effective date of this Power of Attorney (MM/DD/YYYY): ___________________________
  7. Expiration date of this Power of Attorney, if any (MM/DD/YYYY): ___________________________
  8. Specific powers granted to the attorney-in-fact (check all that apply):
    • _____ Make educational decisions
    • _____ Make healthcare decisions, including the power to consent to giving, withholding, or stopping medical treatments, services, or diagnostic procedures for the child
    • _____ Choose extracurricular activities
    • _____ Make travel arrangements
    • _____ Access child's medical records
    • _____ Other: ________________________________________
  9. Full address where the child will reside during this Power of Attorney's effectiveness: ___________________________
  10. Contact information for parent(s) or legal guardian(s):
    • Telephone number: ___________________________
    • Email address: ___________________________
  11. Additional instructions or limitations to the attorney-in-fact's powers, if any: ___________________________

This document must be signed in the presence of a notary public or two (2) witnesses, in accordance with the laws of the Commonwealth of Massachusetts, to ensure its validity.

Signature of Parent/Guardian: ___________________________ Date: ___________________

Signature of Attorney-in-Fact: ___________________________ Date: ___________________

Notary Acknowledgment:

State of Massachusetts
County of ___________________

On this _____ day of ___________, 20XX, before me, a Notary Public in and for said State, personally appeared ___________________________, known to me (or satisfactorily proven) to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained.

In witness whereof, I hereunto set my hand and official seal.

Notary Public: ___________________________
My Commission Expires: ___________________

File Overview

Fact Name Details
Purpose The Massachusetts Power of Attorney for a Child form allows a parent or guardian to designate another adult to make decisions for their child.
Governing Law This form is governed by Massachusetts General Laws, Chapter 201B, which outlines the powers and responsibilities of a power of attorney.
Duration The authority granted through this form can be temporary or permanent, depending on the specific needs of the child and the family.
Eligibility Any adult can be designated as an agent, provided they are willing to take on the responsibilities outlined in the form.
Signature Requirements The form must be signed by the parent or guardian in the presence of a notary public to be legally valid.
Revocation The parent or guardian can revoke the power of attorney at any time, provided they do so in writing.
Limitations The agent's authority is limited to the powers explicitly granted in the form, which may include medical decisions, educational matters, or general care.
Use Cases This form is often used when parents are traveling, deployed in the military, or otherwise unable to care for their child temporarily.
Not a Guardianship It is important to note that a power of attorney does not create a guardianship; it simply allows for temporary decision-making authority.
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