Illinois Minor Child Power of Attorney Form

The Illinois minor child power of attorney form can be crucial for parents or legal guardians who need to authorize another individual to make healthcare decisions on their behalf for their child. This power of attorney template allows the appointed caretaker to manage healthcare needs. A power of attorney for the health care of a minor dependent is beneficial when the primary caregiver is incapacitated, absent, or otherwise unable to provide the necessary oversight.

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If you aim to grant someone comprehensive parental authority to oversee various facets of your child’s life, including educational decisions, travel, and extracurricular involvement, consider our Illinois POA forms or these state-specific options:

  • Appointment of a Short-Term Guardian. This option does not necessitate court approval and allows the designated guardian to manage various activities in the child’s life.
  • Designation of Standby Guardian. This approach requires court approval and is suitable for establishing a guardian who can step in under specified circumstances.

In Illinois, the responsibilities and powers of guardians over minors are addressed in 755 ILCS 5/11-13 (Guardianship of Minors). This statute provides a framework for guardians appointed by the court, highlighting their duties concerning the well-being of minors under their care.

Illinois Minor Child Power of Attorney Form Details

Document Name Illinois Minor Child Power of Attorney Form
Other Name Illinois Temporary Guardianship Form
Relevant Laws Illinois Compiled Statutes, Chapter 755, Section 45
Duration Not Specified
Avg. Time to Fill Out 10 minutes
# of Fillable Fields 24
Available Formats Adobe PDF

Filling Out Illinois Minor Child POA Form

Completing the Illinois minor child power of attorney form is a responsible step to ensure your child receives proper care in your absence, particularly regarding healthcare decisions. Here’s how to accurately fill out the form.

1. Child Information

Begin by entering your child’s full name and date of birth at the top of the form where indicated.

2. Appointing the Agent

Specify the name(s) of the individual(s) you are appointing as the agent(s), also known as the Safe Family Parent(s). These are the people you trust to make healthcare decisions on your behalf.

3. Initialing Options

Both biological/legal guardians must initial beside their names to indicate their participation and consent in this agreement.

4. Authorizing Specific Powers

You must specifically acknowledge and authorize the medical care rights you are granting to your agent. Include physical examinations, routine care, and extraordinary medical measures such as surgery or emergency treatment.

5. Insurance and Financial Responsibility

Provide details about your child’s health insurance — whether Medicaid, private, or other. Include insurance card numbers and provider information. If applicable, agree to pay for any medical costs not covered by insurance.

6. Effective Date and Termination

Indicate when the power of attorney will become effective and when it will terminate. This specifies the timeframe during which the agent has the authority to act.

7. Nominating the Agent

Confirm the nomination of your appointed agent by reiterating their name(s) and provide information about any successor agent, such as the LYDIA Home Association, in case the primary agent is unable to serve.

8. Guardian Nomination

If a guardian for your person needs to be appointed, nominate the agent acting under this power of attorney as such guardian, indicating that they should serve without bond or security.

9. Signatures

The biological/legal guardians and the appointed agent(s) must sign the form. Ensure that all signatures are dated. Having a witness to the signatures can also be beneficial, though not always required unless specified.

10. Documentation

After completion, provide a copy of the document to the biological/legal guardians and the Safe Family Parent(s). Keep the original document in a safe but accessible place, such as with legal or LYDIA/Safe Family Parent files.

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Create a personalized Illinois Minor Child Power of Attorney Form online now!
Published: Jul 6, 2024