Michigan Power of Attorney for a Child
This Power of Attorney for a Child document is designed to grant temporary authority to an appointed guardian to make decisions regarding the health, education, and welfare of a child or children in the state of Michigan. This document is aligned with the provisions of the Michigan Child Care and Parental Responsibility Laws, ensuring that all measures taken are in the child's best interest and within the legal framework of the state.
Principal Information:
- Full Name: _______________________________________________
- Relationship to Child(ren): _________________________________
- Address: _________________________________________________
- Contact Number: ___________________________________________
Child(ren)'s Information:
- Full Name: _______________________________________________
- Date of Birth: _____________________________________________
- Social Security Number (if applicable): _______________________
Appointed Guardian Information:
- Full Name: _______________________________________________
- Relationship to Child(ren): _________________________________
- Address: _________________________________________________
- Contact Number: ___________________________________________
This Power of Attorney shall commence on _____/_____/_____ and will terminate on _____/_____/_____, unless earlier revoked by the undersigned principal. During this period, the appointed guardian is granted the authority to act in the principal's stead in matters concerning the child's or children's health care, schooling, and other significant welfare decisions. This does not relinquish the principal's rights as a parent but temporarily delegates decision-making authority to the guardian for the welfare of the child or children.
In witness whereof, the principal has executed this Power of Attorney on this day _____/_____/_____.
_____________________________
Principal's Signature
_____________________________
Appointed Guardian's Signature
State of Michigan
County of ________
This document was acknowledged before me on _____/_____/_____ by [Principal’s Full Name] and [Appointed Guardian’s Full Name].
_____________________________
Notary Public
My Commission Expires: _________