Indiana Minor (Child) Power of Attorney Form

An Indiana minor (child) power of attorney is a document that temporarily entrusts an agent with the care and custody of a minor. Parents often use this POA when absent for an extended period and unable to attend medical appointments, provide transportation, or handle other daily parental duties. The agent can take on these responsibilities in the parent’s place while the form is effective.

Indiana Minor (Child) Power of Attorney Form

An Indiana minor (child) power of attorney is a document that temporarily entrusts an agent with the care and custody of a minor. Parents often use this POA when absent for an extended period and unable to attend medical appointments, provide transportation, or handle other daily parental duties. The agent can take on these responsibilities in the parent’s place while the form is effective.

Last updated June 21st, 2024

An Indiana minor (child) power of attorney is a document that temporarily entrusts an agent with the care and custody of a minor. Parents often use this POA when absent for an extended period and unable to attend medical appointments, provide transportation, or handle other daily parental duties. The agent can take on these responsibilities in the parent’s place while the form is effective.

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Laws

Signing Requirements – Powers of attorney must be signed in the presence of either a notary public or two witnesses.[1] A witness cannot be the following:

  • The agent appointed in the POA
  • An individual who receives powers or a beneficial interest under the POA
  • Related to either individual identified above

Expiration – A minor POA is valid for up to 12 months but may last longer if the agent is a qualified institution or if the parent is serving in the armed forces.[2]

Sample

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INDIANA MINOR (CHILD) POWER OF ATTORNEY

1. For the Minor named [CHILD’S NAME], born on [MM/DD/YYYY] (hereinafter known as the “Minor”), I, [PARENT’S NAME], the Parent or Court Appointed Guardian with a street address of [PARENT’S ADDRESS],

And I, [CO-PARENT’S NAME], the Parent or Court Appointed Guardian with a street address of [CO-PARENT’S ADDRESS],

2. Hereby appoint [ATTORNEY-IN-FACT’S NAME] as the Attorney-in-Fact for the Minor who is their [RELATION TO CHILD] with a street address of [ATTORNEY-IN-FACT’S ADDRESS] (hereinafter referred to as the “Attorney-in-Fact”).

3. I/We delegate to the Attorney-in-Fact the authority to [DESCRIBE AUTHORITY].

4. This power of attorney document shall commence on [MM/DD/YYYY] and end on:

A. [INITIAL] [MM/DD/YYYY].
B. [INITIAL] – In the event of my disability (incapacitation).
C. [INITIAL] – In the event of my death.

This document can be terminated at any time by completing a revocation or by creating a new minor power of attorney form.

5. This power of attorney shall be governed under the laws in the State of Indiana and terminates any prior written form.

Parent/Guardian Signature: _______________ Date: _______
Print Name: _______________

Parent/Guardian Signature: _______________ Date: _______
Print Name: _______________

ACCEPTANCE BY ATTORNEY-IN-FACT

The undersigned Attorney-in-Fact acknowledges and executes this Power of Attorney, and by such execution does hereby affirm that I: (A) accept the appointment; (B) understand the duties under the Power of Attorney and under the law.

Attorney-in-Fact Signature: _______________ Date: _______
Print Name: _______________

NOTARY ACKNOWLEDGMENT

State of Indiana
County of _______________, ss.

On _______, before me appeared _______________, as the Parent(s)/Court Appointed Guardian(s) who proved to me through government-issued photo identification to be the above-named person(s), who in my presence executed the foregoing instrument and acknowledged that (s)he executed the same as his/her free act and deed.

Notary Signature: _______________
Print Name: _______________
My Commission Expires: _______ (Notary Seal)