New Jersey Power of Attorney for a Child Template
This document serves as a Power of Attorney for a child in the state of New Jersey, allowing a designated individual to make decisions on behalf of the child. This form is governed by New Jersey Statutes, specifically N.J.S.A. 46:2B-8.1.
By completing this document, you are granting authority to another person to act in your stead regarding the care and custody of your child. Please fill in the blanks as indicated.
Parties Involved:
Principal (Parent/Guardian):
Name: ______________________________
Address: ____________________________
City, State, Zip: ____________________
Phone Number: ______________________
Agent (Person Granted Power):
Name: ______________________________
Address: ____________________________
City, State, Zip: ____________________
Phone Number: ______________________
Child Information:
Child’s Name: ______________________________
Child’s Date of Birth: ______________________
Authority Granted:
The Agent shall have the authority to make decisions regarding:
- Medical care and treatment
- Education and schooling
- Travel and relocation
- General welfare and living arrangements
Duration of Power of Attorney:
This Power of Attorney shall commence on the date signed and remain in effect until:
- Revoked by the Principal in writing.
- The child reaches the age of majority (18 years old).
Signatures:
By signing below, the Principal acknowledges that they understand the contents of this Power of Attorney and voluntarily grant the specified powers to the Agent.
Principal’s Signature: ______________________________
Date: ______________________
Agent’s Signature: ______________________________
Date: ______________________
This document should be kept in a safe place and copies provided to the Agent and any relevant parties involved in the care of the child.