Free Adoption Power of Attorney Form Template
Adoption Power of Attorney Form
Please fill out the form with your information below.
I. Parties Involved
Grantor
Name
Address
Phone number
Attorney-in-Fact
Name
Address
Phone number
II. Child Information
Name
Date of Birth
Place of Birth
III. Powers Granted
The Grantor authorizes the Attorney-in-Fact to act on their behalf concerning the following matters related to the child mentioned above:
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Legal custody and decision-making authority.
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Medical care and treatment decisions.
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Educational enrollment and related matters.
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Any other necessary actions for the child’s welfare and wellbeing.
Duration of Power
This Power of Attorney shall remain in effect from [Start Date] to [End Date], unless revoked in writing by the Grantor or upon the occurrence of [specify condition, e.g., finalization of adoption].
Revocation Clause
The Grantor reserves the right to revoke this Power of Attorney at any time by providing written notice to the Attorney-in-Fact.
Date:
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