New Jersey Power of Attorney for a Child
This Power of Attorney for a Child document grants certain legal rights and responsibilities regarding the care and decision-making for a minor child. It is designed to comply with the New Jersey statutes that regulate such agreements. By completing this document, the Parent(s) or Legal Guardian(s) appoints a trusted individual as the Attorney-in-Fact to act on their behalf in matters concerning their child's welfare. This agreement does not remove or diminish the parent or legal guardian's rights.
1. Parties Involved
a. Parent(s)/Legal Guardian(s) Information
Full Name(s): ___________________________________________________
Address: _______________________________________________________
City, State, Zip: _______________________________________________
Telephone Number: _____________________________________________
Relationship to Child: __________________________________________
b. Attorney-in-Fact's Information
Full Name: ____________________________________________________
Address: ______________________________________________________
City, State, Zip: ______________________________________________
Telephone Number: ____________________________________________
Relationship to Child: _________________________________________
c. Child's Information
Full Name: ____________________________________________________
Date of Birth: _________________________________________________
Address (if different from Parent(s)/Legal Guardian(s)): __________
_____________________________________________________________
2. Appointment of Attorney-in-Fact
The undersigned Parent(s) or Legal Guardian(s), hereby appoint the above-named Attorney-in-Fact as the legal temporary guardian of the child named above, granting them the power to act on the child's behalf in all matters that the parent or guardian could do themselves, except as limited in this document.
3. Rights and Responsibilities
The Attorney-in-Fact shall have the authority to make decisions concerning the child's education, healthcare, and overall welfare. This includes, but is not limited to, the ability to:
- Enroll the child in school and extracurricular activities,
- Make healthcare decisions, including access to medical records,
- Authorize medical, dental, and mental health treatment,
- Travel with the child,
- Make decisions regarding the child's daily care and necessities.
4. Duration
This Power of Attorney shall commence on the date it is signed and shall remain in effect until _____________________, unless it is terminated earlier by the Parent(s) or Legal Guardian(s) in writing.
5. Signatures
In witness whereof, the parties have executed this Power of Attorney for a Child as of the date below:
Parent(s)/Legal Guardian(s) Signature: ___________________________
Date: __________________________________
Attorney-in-Fact Signature: ____________________________________
Date: __________________________________
Witness Signature: ____________________________________________
Date: __________________________________
Note: Witness signature may be required depending on local regulations.
6. Notarization (If required by local law or desired for additional legal protection)
This section should be completed by a notary public.