Iowa Minor Child Power of Attorney Form

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An Iowa minor child power of attorney is a parent's caregiver appointment. The third page holds the notary’s acknowledgment block. Parents need one when illness, military deployment or travel keeps them from their child.

This page explains what the form covers, how to fill out and sign each part, and how the agent's authority ends. Other Iowa forms are on the Iowa power of attorney forms page, and every type is on the power of attorney hub.

Key facts

  • The form names one adult agent, also called the attorney-in-fact, to care for a minor child, plus an optional successor.
  • Chapter 633B, Iowa's power of attorney act, has the principal sign, or another individual sign at the principal's direction in the principal's conscious presence, never a prospective agent, and the signature acknowledged before a notary public or other individual authorized by law to take acknowledgments (Iowa Code § 633B.105).
  • The chapter's statutory form covers the principal's property, not health care decisions (Iowa Code § 633B.301); no section in our sources says chapter 633B governs a parent's delegation of child care, so its signing steps are the safe course for this form (Iowa Code § 633B.105).
  • A power of attorney is effective when executed unless it provides that it becomes effective at a future date or event (Iowa Code § 633B.109).
  • A power of attorney terminates on revocation, when its own terms end it, or when the principal dies (Iowa Code § 633B.110).
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What Is an Iowa Minor Child Power of Attorney?

The Iowa minor child power of attorney is a signed delegation of child care authority from a parent or guardian to another adult for the dates the form lists.

The form calls the parent or guardian who signs it the principal. The adult who receives the authority is the agent, also called the attorney-in-fact; the form uses both terms for the same role. The form prints powers over the child's health, education and welfare, and the principal selects the ones the agent holds.

The form also prints a statement about parental rights above the signing date, so the principal reads it before signing.

Many people search for this form as an Iowa temporary guardianship form.

Is It the Same as an Iowa Temporary Guardianship Form?

The Iowa minor child power of attorney is the document many people search for as an Iowa temporary guardianship form, but it appoints an agent, not a guardian. A guardianship is a separate arrangement with its own forms and process. The power of attorney rests on the parent's own signature: under Iowa Code § 633B.109, a power of attorney is effective when executed unless it provides that it becomes effective at a future date or event.

When You Need a Minor Child Power of Attorney in Iowa

A minor child power of attorney fits a planned absence of the parent, when another adult has to sign school papers, approve routine care or handle daily decisions for the child.

Common situations:

  • Military deployment or training away from home
  • A hospital stay, treatment or recovery from illness
  • Extended travel for work or family reasons
  • A child staying with grandparents or relatives for a school term
  • A parent working away from home for weeks at a time

When Another Document Fits

The minor child power of attorney covers the care of a child, not the principal's own affairs. For decisions about the principal's property, Iowa Code § 633B.301 sets out a statutory power of attorney form. A durable power of attorney for health care is a separate document with its own signing methods under Iowa Code § 144B.3.

What Authority the Agent Gets

The Iowa minor child power of attorney gives the agent either broad authority or limited authority, and the principal picks one on the second page of the form.

The broad option covers the powers printed on the form, such as decisions about the child's health, education and welfare. The limited option leaves blank lines where the principal lists each power the agent receives, such as school enrollment or routine doctor visits. The form leaves out anything the principal does not list under the limited option.

Successor Attorney-in-Fact

The successor attorney-in-fact is a backup adult named in the form to act when the first agent cannot. Naming one keeps the arrangement in place: under Iowa Code § 633B.110, a power of attorney terminates when the agent dies, becomes incapacitated or resigns and the power of attorney does not provide for another agent to act.

Iowa Minor Child Power of Attorney Form Details

The details table lists the form's other names, size and format, so you can confirm it is the document you want before filling it in.

Document Name Iowa Minor Child Power of Attorney Form
Other Names Iowa Parental Power of Attorney
Signing Steps Signature and notary acknowledgment, the safe course under chapter 633B (Iowa Code § 633B.105)
Duration The start and end dates the principal enters
Avg. Time to Fill Out 10 minutes
# of Fillable Fields 44
Available Formats Adobe PDF

How to Fill Out the Iowa Minor Child Power of Attorney Form

The Iowa minor child power of attorney form is filled from top to bottom, from the parties on the first page to the acknowledgment on the third page. Spell every name the same way each time it appears.

The screenshots under each step show the FormsPal Iowa Minor Child Power of Attorney template filled with sample entries in blue, so you can see where each answer goes. The names, addresses, dates and amounts are examples only.

First Page: the Principal, the Child and the Agent

  1. Enter the principal and the child. Enter your name and current address in the section headed "On behalf of the minor child." Specify your relationship to the child by checking the appropriate box (Parent, Court-Appointed Guardian, or Court-Appointed Conservator). Add your initials on the short line next to your role. Then enter the child’s full name, date of birth and address.
    Iowa Iowa Minor Child Power of Attorney: ON BEHALF OF MINOR CHILD, filled with sample entries
    Step 1: sample entries, not a real document.
  2. Name the agent and any second parent. Fill in the second statement only if another parent, guardian or conservator joins the appointment. Enter the name and address of the adult you are appointing as agent (attorney-in-fact). Pick an adult who can handle the child's health, education and welfare decisions.
    Iowa Iowa Minor Child Power of Attorney: Name, Currently residing at and more, filled with sample entries
    Step 2: sample entries, not a real document.

Second Page: Powers, Successor and Dates

  1. Choose the powers and a successor. Check the broad option for every power printed on the form, or the limited option and list each power on the blank lines. In the Successor Attorney-in-Fact paragraph, enter the agent’s name, then the name and address of a successor if you want to name one.
    Iowa Iowa Minor Child Power of Attorney: Agent's name, Alternate agent’s name and more, filled with sample entries
    Step 3: sample entries, not a real document.
  2. Enter the effective dates. Enter the date the power of attorney starts and the date it continues until. Pick an end date that matches the absence, such as the end of a deployment or a school term.
    Iowa Iowa Minor Child Power of Attorney: EFFECTIVE DATE, filled with sample entries
    Step 4: sample entries, not a real document.
  3. Date the form and print the names. Read the statement about parental rights printed above the signing date. Enter the day, month and year of signing, and print each name under its signature line. Leave the signature lines themselves for the signing step below.
    Iowa Iowa Minor Child Power of Attorney: PARENTAL RIGHTS OVER AND TO THE MINOR CHILD, filled with sample entries
    Step 5: sample entries, not a real document.

Third Page: the Acknowledgment

  1. Leave the acknowledgment block for the officer. Leave the acknowledgment block on the third page for the officer who takes it. It has spaces for the county, the date, the officer’s name and title, and the name of the person who appeared.
    Iowa Iowa Minor Child Power of Attorney: STATE OF IOWA, filled with sample entries
    Step 6: sample entries, not a real document.
  2. Leave the officer's signature and seal blank. Leave the Signature line and the seal space at the bottom of the third page empty for the officer.
    Iowa Iowa Minor Child Power of Attorney: Signature, filled with sample entries
    Step 7: sample entries, not a real document.

How to Sign the Iowa Minor Child Power of Attorney

The Iowa minor child power of attorney form is built for the principal's signature and an acknowledgment before a notary public, the signing steps Iowa Code § 633B.105 sets for a power of attorney under chapter 633B, Iowa's power of attorney act. No section in our sources says chapter 633B governs a parent's delegation of child care, so the steps below follow it as the safe course for this form, not as a rule written for it (Iowa Code § 633B.105).

  1. Choose a notary who is not the agent: under Iowa Code § 633B.105, an agent named in the power of attorney shall not notarize the principal's signature.
  2. Sign on the signature line yourself, or direct another individual, other than any prospective agent, to sign your name in your conscious presence, as Iowa Code § 633B.105 allows.
  3. Have a second parent or guardian named on the first page sign on their own line.
  4. Acknowledge your signature before the notary public, who completes the third page (Iowa Code § 633B.105).
  5. Give the agent and any successor a copy of the signed form, and keep the original with your important papers.
  6. Give copies to the child's school, doctor and childcare provider, so they know who acts for the child.

The acknowledgment also protects the form later: under Iowa Code § 633B.105, an acknowledged signature on a power of attorney is presumed to be genuine.

When the Power of Attorney Starts and Ends

The Iowa minor child power of attorney is effective when executed unless it provides that it becomes effective at a future date or event, under Iowa Code § 633B.109. A later start date entered on the second page is such a future date.

An end date matters too. Under Iowa Code § 633B.110, unless the power of attorney otherwise provides, an agent's authority is exercisable until it terminates, notwithstanding a lapse of time since the power of attorney was signed.

Events That End It

Under Iowa Code § 633B.110, a power of attorney terminates when any of these events occurs:

  • The principal dies.
  • The principal revokes the power of attorney.
  • The power of attorney provides that it terminates, for example on its end date.
  • The purpose of the power of attorney is accomplished.
  • The principal revokes the agent's authority, or the agent dies, becomes incapacitated or resigns, and the power of attorney does not provide for another agent.

When the agent is married to the principal, the agent's authority ends once an action is filed for dissolution or annulment of the marriage or for legal separation, unless the power of attorney otherwise provides (Iowa Code § 633B.110).

How to Revoke the Power of Attorney

Revocation ends the minor child power of attorney, but under Iowa Code § 633B.110 it is not effective as to an agent or another person who, without actual knowledge of it, acts in good faith under the power of attorney.

  1. Write a signed, dated revocation that names the principal, the agent, the child and the date of the power of attorney.
  2. Give a copy to the agent and any successor.
  3. Tell the school, doctors and anyone else who received a copy that the power of attorney has ended.
  4. Ask them to return or destroy their copies.

Under Iowa Code § 633B.110, an act done in good faith before that point, unless otherwise invalid or unenforceable, binds the principal and the principal's successors in interest.

Frequently Asked Questions

The FAQ answers the questions parents ask most about the Iowa minor child power of attorney beyond the steps above.

Does the Iowa minor child power of attorney need witnesses?

Iowa Code § 633B.105 sets the signing rule for a power of attorney as the principal's signature plus an acknowledgment before a notary public or other individual authorized by law to take acknowledgments. The witness rules of Iowa Code § 144B.3 apply to a durable power of attorney for health care, which is a separate document.

Does the power of attorney end if the parent becomes incapacitated?

Iowa Code § 633B.104 makes a power of attorney created under chapter 633B durable unless it expressly provides that it is terminated by the incapacity of the principal. No Iowa section in our sources says whether a parent's delegation of child care is created under that chapter. A parent who wants the authority to end on incapacity can write that condition into the form.

Can the agent make medical decisions for my child?

The form's broad option prints decisions about the child's health, education and welfare, and a limited grant on the second page narrows the agent's authority to the powers listed there. The statutory form of chapter 633B does not authorize the agent to make health care decisions for the principal (Iowa Code § 633B.301). Ask the child's doctor or hospital ahead of time whether they accept the form.

Does the agent have to accept the appointment?

Under Iowa Code § 633B.113, except as otherwise provided in the power of attorney, a person accepts appointment as an agent by exercising authority or performing duties as an agent, or by any other assertion or conduct indicating acceptance.

Can I change the agent later?

Under Iowa Code § 633B.110, an agent's authority terminates when the principal revokes the authority. A new form then names the new agent, and the old agent and everyone holding a copy hear about the change.

What details should I have ready before I start?

Gather these details first, so things go quickly:

  • Your full name and current address
  • The child’s full name, date of birth and address
  • The full name and address of the adult you are appointing as agent
  • The name and address of a successor, if you want to name one
  • The dates you want the power of attorney to start and end

General information, not legal or tax advice.

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Mara Erlach
Mara Erlach
Writer & Attorney
Mara has been practicing estate planning and trust law in California since 2003, taking pride in helping clients of all backgrounds and asset profiles form a complete and customized estate plan. Her specialties are: estate planning, wills and trusts, trust and probate administration.