Utah Power of Attorney for a Child
This Utah Power of Attorney for a Child allows a parent or guardian to grant certain powers regarding the care and custody of a child to another individual. This document is in accordance with the Utah Uniform Power of Attorney Act.
Parties
Parent/Guardian Information:
- Full Name: ______________________________________________________
- Relationship to Child: ___________________________________________
- Address: _________________________________________________________
- Phone Number: ____________________________________________________
Attorney-in-Fact Information:
- Full Name: ______________________________________________________
- Address: _________________________________________________________
- Phone Number: ____________________________________________________
Child Information
- Full Name: ______________________________________________________
- Date of Birth: ___________________________________________________
Grant of Powers
The undersigned parent/guardian hereby grants the following powers to the Attorney-in-Fact for the care and custody of the above-mentioned child:
- To provide for the child's accommodation and care.
- To make decisions regarding the child's education and extracurricular activities.
- To consent to medical, dental, and mental health treatments for the child.
- To perform any act necessary for the child's travel, including obtaining passports.
- Any other powers deemed necessary: ___________________________________________________
Term
This Power of Attorney shall become effective on ______________________ and will remain in effect until ______________________, unless terminated earlier.
Signatures
This document must be signed by the parent/guardian, the Attorney-in-Fact, and be notarized to be valid.
Parent/Guardian Signature: _________________________________________ Date: _______________
Attorney-in-Fact Signature: _________________________________________ Date: _______________
Notary Public: _____________________________________________________ Date: _______________
My commission expires: _____________________________________________
Notices
All parties must provide a written notice to each other within 5 days of any address or phone number changes.
Revocation
The granting parent or guardian has the right to revoke this Power of Attorney at any time, provided they give written notice to the Attorney-in-Fact.
Acceptance by Attorney-in-Fact
I, ________________________________________, hereby accept this Power of Attorney and agree to act in the best interest of the child mentioned herein.
This document was prepared and reviewed on: ___/___/______