West Virginia Power of Attorney for a Child
This West Virginia Power of Attorney for a Child template is prepared in accordance with the West Virginia Code Chapter 44A - West Virginia Uniform Power of Attorney Act. It serves to temporarily grant certain parental or guardian rights and responsibilities to an appointed agent.
Notice: It is important to remember that this document does not terminate the legal rights of the parents or legal guardians but allows another person to act in the parent or guardian's stead for a specified period, not exceeding 6 months, unless specified by court order.
1. Principal Information
Full Name of Parent/Guardian (Principal): _________________________
Principal's Address: _________________________
Principal's Contact Number: _________________________
2. Child Information
Full Name of Child: _________________________
Date of Birth: _________________________
3. Agent Information
Full Name of Agent: _________________________
Agent's Address: _________________________
Agent's Contact Number: _________________________
4. Powers Granted
The Agent shall have the authority to perform any and all acts necessary for the maintenance, education, health care, and welfare of the child, including but not limited to:
- Enrollment in school and participation in school activities
- Authorization of medical, dental, and mental health treatment
- Permission to travel with the child
- Decision-making related to the child's social and sports activities
5. Term
The term of this Power of Attorney shall commence on ________________ and shall terminate on ________________, unless earlier revoked by the undersigned Principal or by court order.
6. Signature
This document is executed on this day ________________, in the presence of the following witnesses:
Principal's Signature
_______________________________________
Agent's Signature
_______________________________________
Witness 1 Signature
_______________________________________
Witness 2 Signature
_______________________________________
7. Notarization
This document was acknowledged before me on ____________ by the above-named Principal and Agent.
Notary Public: _______________________________________
My Commission Expires: _________________________
Important Information
It is crucial to review the powers granted under this document regularly and ensure they serve the best interest of the child. If any modifications are required, it is recommended to revoke the current Power of Attorney and create a new one reflecting any changes. For legal advice specific to your situation, consultation with a licensed attorney in West Virginia is advised.