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:
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.
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 |
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.