Louisiana Power of Attorney for a Child
This document serves as a Power of Attorney for a Child, executed under the laws of the State of Louisiana. This Power of Attorney grants temporary authority to a designated individual to make decisions on behalf of a minor child.
1. Parties Involved:
This Power of Attorney is made by:
Parent/Guardian Name: ________________
Address: ___________________________
Phone Number: _____________________
Email Address: _____________________
Hereinafter referred to as the "Grantor."
The designated individual is:
Agent’s Name: _______________________
Address: ___________________________
Phone Number: _____________________
Email Address: _____________________
Hereinafter referred to as the "Agent."
2. Child Information:
Child’s Name: ____________________
Date of Birth: ____________________
3. Powers Granted:
- Make decisions related to the child’s education.
- Authorize medical care and treatment for the child.
- Provide consent for transportation and travel arrangements.
- Communicate with educational and medical institutions on behalf of the child.
4. Effective Date:
This Power of Attorney shall become effective on the following date: ________________.
5. Duration:
This Power of Attorney shall remain in effect until: ________________ or until revoked by the Grantor in writing.
6. Revocation:
The Grantor has the right to revoke this Power of Attorney at any time. Revocation must be made in writing and delivered to the Agent and any relevant third parties.
7. Signatures:
Executed on this _____ day of __________, 20__.
Grantor Signature: _______________________
Agent Signature: _______________________
Witness Signature: ______________________
Witness Name: _________________________
Notary Public: _________________________