Michigan Power of Attorney for a Child
This Power of Attorney is established in accordance with the laws of the State of Michigan, providing temporary authority to an individual to make decisions regarding a minor child.
1. Parties
Principal: ___________________________________________ (Full Legal Name), with a mailing address of ___________________________________________, City of ________________________, State of Michigan, Zip Code ___________, hereby appoints,
Attorney-in-Fact/Agent: ___________________________________________ (Full Legal Name), with a mailing address of ___________________________________________, City of ________________________, State of Michigan, Zip Code ___________ as the lawful Attorney-in-Fact to act in the Principal's place and stead to make decisions regarding the minor child listed below.
2. Child Information
Child's Full Name: ___________________________________________
Date of Birth: _________________
Address: ______________________________________________________
3. Term
This Power of Attorney shall commence on _________________ and shall remain in effect until _________________, unless otherwise revoked in writing by the Principal.
4. Powers Granted
The Attorney-in-Fact shall have the authority to make and participate in any and all decisions regarding the child's education, health care, and welfare. This authority includes, but is not limited to, the power to:
- Enroll the child in school and extracurricular activities,
- Access the child's educational records,
- Make healthcare decisions, including the power to consent to giving, withholding, or stopping any medical treatment, service, or diagnostic procedure,
- Access the child's medical records,
- Provide for the child's food, lodging, and travel,
- Make decisions regarding the child's social needs and activities.
5. Additional Provisions
__________________________________________________________________________________________________
__________________________________________________________________________________________________
6. Governing Law
This Power of Attorney shall be governed by the laws of the State of Michigan without regard to its conflict of laws principles.
7. Signature
IN WITNESS WHEREOF, the Principal has signed this document on _________________.
Principal's Signature: _________________________________
Date: _________________
State of Michigan )
County of _________________ )
Subscribed and sworn to (or affirmed) before me this __________ day of _______________, 20__, by _________________________________, who is personally known to me or has produced ___________________________ as identification.
Notary Public Signature: _________________________________
My Commission Expires: _________________