Illinois Power of Attorney for a Child
This Power of Attorney for a Child document is prepared under the laws of the State of Illinois to grant authority to a designated person to make decisions on behalf of a minor child. This document is intended for use within the State of Illinois and may not be suitable for use in other jurisdictions.
Please fill in the following information where applicable:
Child's Full Name: ___________________________________________
Child's Date of Birth: _______________________________________
Parent(s) or Legal Guardian(s) Full Name(s): __________________
Address of Parent(s) or Legal Guardian(s): ____________________
________________________________________________________________
Designated Agent's Full Name: _________________________________
Designated Agent's Relationship to Child: ______________________
Designated Agent's Address: __________________________________
Under the laws of the State of Illinois, the Parent(s) or Legal Guardian(s) of the mentioned child hereby appoint the designated agent as the attorney-in-fact to act on behalf of the child in making decisions concerning the child's care, including but not limited to education, healthcare, and general welfare, starting from ______ [Date] and ending on ______ [Date], unless earlier revoked.
This Power of Attorney does not deprive the Parent(s) or Legal Guardian(s) of any parental rights and responsibilities. It is intended to grant temporary authority to the designated agent in the event of the Parent(s) or Legal Guardian(s)' absence or incapacity.
It's important to note that, as per Illinois law, this Power of Attorney for a Child can be revoked by the Parent(s) or Legal Guardian(s) at any time, provided that the revocation is in writing and delivered to the designated agent.
The following signatures indicate that all parties agree to the terms and conditions of this Power of Attorney for a Child:
Parent(s) or Legal Guardian(s) Signature: _______________________
Date: __________________
Designated Agent's Signature: ________________________________
Date: __________________
Witness Signature (if required): ______________________________
Date: __________________
State of Illinois, County of __________:
Subscribed and sworn before me on this ____ day of _______________, 20___.
Notary Public: ______________________________________
My commission expires: ______________________________