Oregon Power of Attorney for a Child
This document serves as a Power of Attorney for a Child in accordance with the laws of Oregon. It allows the designated agent to make decisions on behalf of a minor child.
Principal Information:
- Principal's Name: _________________________
- Principal's Address: _______________________
- Principal's Phone Number: __________________
- Principal's Email: ________________________
Child Information:
- Child's Name: ____________________________
- Child's Date of Birth: _____________________
Agent Information:
- Agent's Name: ____________________________
- Agent's Address: _________________________
- Agent's Phone Number: ___________________
- Agent's Email: __________________________
This Power of Attorney grants the agent authority to:
- Make medical decisions on behalf of the child.
- Make educational decisions for the child.
- Provide care and supervision for the child.
- Access the child's medical and educational records.
The principal may revoke this Power of Attorney at any time by providing written notice to the agent.
This document will take effect on the date signed and remain in effect until the specified expiration date or until revoked by the principal. The effective date is: __________________________.
Signatures:
By signing below, the principal confirms their intent to grant the powers outlined above.
Principal's Signature: ___________________________ Date: ________________
Agent's Signature: _______________________________ Date: ________________