Ohio Power of Attorney for a Child Template
This Ohio Power of Attorney for a Child Template is designed to empower an individual to make important decisions regarding the care and welfare of a child in accordance with the Ohio Revised Code 3109.52 to 3109.61. The purpose is to appoint a trusted adult as an attorney-in-fact to act on behalf of the child's parent or guardian in matters of health, education, and general welfare.
Please complete the blanks with the appropriate information to ensure this document meets your specific needs and complies with Ohio law.
Power of Attorney Information
Child’s Full Legal Name: ___________________________________________________
Child’s Date of Birth: _______________________________
Child’s Place of Birth: ___________________________________________________
Parent/Guardian Full Legal Name: ___________________________________________
Parent/Guardian Address: _________________________________________________
Attorney-in-Fact Full Legal Name: ___________________________________________
Attorney-in-Fact Address: ________________________________________________
Relationship of Attorney-in-Fact to Child: ___________________________________
Terms of the Power of Attorney
This Power of Attorney shall commence on __________(Start Date)__________ and will end on __________(End Date)__________, unless otherwise terminated earlier as per Ohio law or specified herein.
The attorney-in-fact is granted the following powers to:
- Enroll the child in school and extracurricular activities
- Authorize medical, dental, and mental health treatment
- Make decisions regarding the child’s residency and travel
- Access the child’s records (educational, medical, etc.)
- Represent the child in legal matters
- Perform any other duties as allowed under Ohio law that the parent or guardian could perform.
The attorney-in-fact agrees to act in the child's best interests at all times and to keep the parent or guardian informed about any significant decisions or changes in the child's welfare.
Signatures
The effectiveness of this Ohio Power of Attorney for a Child is contingent upon the signatures of the parent or guardian, the attorney-in-fact, and a notary public. By signing, all parties agree to the terms and responsibilities outlined in this document.
Parent/Guardian Signature: __________________________________ Date: ______________
Attorney-in-Fact Signature: ________________________________ Date: ______________
This document was notarized in the State of Ohio on the date indicated above by:
Notary Public Signature: ___________________________________ Date: ______________
My Commission Expires: ____________________________________
This Power of Attorney for a Child in Ohio is intended to ensure the child’s needs are met when the parent or guardian cannot be present to make decisions. It is recommended that all parties consult with a legal professional to ensure this document meets their specific needs and is in compliance with current Ohio laws.