Parental Power of Attorney Form and Instructions (non-interactive form)

This form is called a “Power of Attorney Delegating Parental Powers.” The instructions explain how to fill out and use the form. The purpose of the form is for a parent or guardian to delegate his or her parental authority over a child to another adult so that the other adult can make parenting decisions for the child. While we are providing the form in English and Spanish to assist Spanish speakers in filling out the form, the form should be filled out in English because most schools, hospitals, doctors’ offices, and other organizations will only accept the form in English.

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