Louisiana Power of Attorney for a Child
This Power of Attorney is made in accordance with the laws of the State of Louisiana, specifically under Louisiana Civil Code Article 299. This document grants authority to a designated individual to make decisions on behalf of a minor child.
Principal Information:
- Name of Parent/Guardian: ___________________________
- Address: _________________________________________
- City, State, Zip Code: ____________________________
- Phone Number: ___________________________________
Child Information:
- Name of Child: ___________________________________
- Date of Birth: ____________________________________
- Address: _________________________________________
Agent Information:
- Name of Agent: ___________________________________
- Address: _________________________________________
- City, State, Zip Code: ____________________________
- Phone Number: ___________________________________
Authority Granted:
The undersigned parent/guardian hereby appoints the above-named agent to act on behalf of the child in the following matters:
- Medical care and treatment decisions.
- Educational decisions, including enrollment in schools.
- Travel arrangements and permissions.
- Any other decisions necessary for the child's welfare.
This Power of Attorney shall remain in effect until revoked in writing or until the child reaches the age of majority, whichever occurs first.
Signature:
_____________________________ (Parent/Guardian)
Date: ______________________
Witness Information:
Witness Name: ___________________________
Witness Signature: ________________________
Date: ______________________
Notary Public:
State of Louisiana
Parish of ___________________________
On this _____ day of ___________, 20___, before me, a notary public, personally appeared ___________________________, known to me to be the person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same for the purposes therein contained.
_____________________________ (Notary Public)
My commission expires: ____________________