Free Kansas Power of Attorney Form for a Minor Child
A Kansas power of attorney form for a minor child is a written document in which a parent names another person to act for the child. The rules in this guide come from Kan. Stat. Ann. § 38-2403, which covers a power of attorney that delegates powers over the care and custody of a child to a host family.[1]
Last Updated: October 2026. This guide is reviewed and updated regularly to reflect current Kansas law. If you notice an error or outdated information, please contact us.
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What Is a Kansas Minor Child Power of Attorney?
In a Kansas minor child power of attorney, a parent, court-appointed guardian, or court-appointed conservator names another person to act for the child. That person is called the agent or the attorney-in-fact. The terms below appear on the FormsPal template and in the rest of this guide.
Parent, guardian or conservator: the person who signs the form. The form asks you to initial the blank before the role that fits you.
Agent: the person you appoint to act for your child. The form calls the agent the attorney-in-fact.
Successor attorney-in-fact: the alternate agent named on page 2 who steps in if the agent cannot serve.
Acknowledgment: the block on page 3 where a notary records that you signed the form.
Before you start the form, gather these details so you can fill it out in one sitting.
Your full name and address, and whether you sign as a parent, guardian, or conservator.
The child's full name, date of birth, and address.
The names of everyone who has legal custody of the child, because their consent is needed.
The full name and address of the agent, and the name and address of an alternate agent.
The powers you want to delegate, and the start and end dates for them.
Kansas Power of Attorney Requirements for a Minor Child
A parent can use a power of attorney template like this one to delegate powers over a child to another person. The rules below come from Kan. Stat. Ann. § 38-2403 and cover how long the document lasts, who must agree, which powers stay with the parent, and how to end it.[1]
Duration: a power of attorney under this section cannot exceed one year in duration, but it may be renewed for one additional year.[1]
Active duty: a serving parent on active duty service may sign one for longer than one year. Its duration cannot exceed the term of active duty service plus 30 days.[1]
Consent: a placement is not allowed without the consent of all individuals who have legal custody of the child.[1]
Powers that stay with the parent: the power to consent to marriage or adoption of the child, the performance or inducement of an abortion on or for the child, and the termination of parental rights to the child cannot be delegated.[1]
Form: the document is deemed sufficient if it is in substantial compliance with the form set forth by the judicial council.[1]
Revocation: a parent who signs one has the authority to revoke or withdraw it at any time.[1]
You may also see this document called a Kansas temporary guardianship form. FormsPal lists that as another name for the same template. The form includes a printed statement about parental rights over and to the minor child on page 2.
People often use this document when they expect to be away from their child for a while. For a broader overview of healthcare, financial, and minor child authorizations, see all Kansas POA forms.
Up to one year, renewable for one additional year. A parent on active duty service: the term of active duty service plus 30 days.[1]
Avg. Time to Fill Out
10 minutes
# of Fillable Fields
44
Available Formats
Adobe PDF
What a Kansas Minor Child Power of Attorney Lets the Agent Do
You hand some of your powers over your child to the agent. Under Kan. Stat. Ann. § 38-2403, a parent may delegate any of the powers regarding the care and custody of the child, except a short list of powers that stay with the parent.[1] The agent acts for you in those matters while the document is in effect.
With option 1 on the form, the agent receives all authority that the laws of the State of Kansas allow you to delegate, including the power to arrange for and consent to the child's care.
With option 2, the agent receives only the limited powers you write on the lines provided.
Consent to marriage or adoption, an abortion, and termination of parental rights stay with you in either case.[1]
Keep a copy of the signed document with you when you speak to the school or doctor, so you can show who may act for your child.
Filling Out the Kansas Minor Child Power of Attorney Form
The FormsPal template runs three pages. Work through the steps below in order. Each step names the part of the form it covers and the page it is on, so you can check your entries against the printed form as you go.
The screenshots under each step show the FormsPal Kansas 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.
Your details, your role and the child (page 1). Enter your name and address, then initial the blank before Parent, Court-Appointed Guardian or Court-Appointed Conservator to show your role. Add the child's name, date of birth, and address.Step 1: sample entries, not a real document.
Second parent or guardian and the agent (page 1). If there is more than one parent, guardian or conservator, complete the additional statement the same way. Otherwise leave it blank. Then enter the agent's name and address in the line that appoints the agent.Step 2: sample entries, not a real document.
Powers granted and the successor agent (page 2). Option 1 grants all authority the form describes and has nothing to fill in. For option 2, write the limited powers on the lines provided. Then enter the agent's name, the alternate agent's name, and the alternate's address in the successor paragraph.Step 3: sample entries, not a real document.
Effective date (page 2). Enter the date the power of attorney starts and the date it continues until. The printed statement about parental rights over and to the minor child needs no entry. Pick an end date that fits the duration limit in the requirements section above.Step 4: sample entries, not a real document.
Date and signatures (page 2). Enter the day, month, and year, then sign and print your name on a signature line. A second parent, guardian, or conservator signs on the other line.Step 5: sample entries, not a real document.
Acknowledgment details for the notary (page 3). Page 3 holds the notary acknowledgment block. The county, the date, the officer's name and title, and the signer's name are filled in for it.Step 6: sample entries, not a real document.
Notary signature and seal (page 3). The notary signs on the Signature line and adds the seal to complete the acknowledgment.Step 7: sample entries, not a real document.
The table below uses made-up names and addresses to show how entries on pages 1 and 2 fit together. Replace every entry with your own details.
Part of the form
Sample entry
Parent
Anna Baker, 123 Main Street, Wichita KS 67202
Child
Emma Baker, born 01/01/2015
Agent (attorney-in-fact)
Ben Carter, 456 Oak Avenue, Wichita KS 67202
Powers
Option 2, limited: pick up the child from school and consent to routine care
Effective and end dates
06/01/2027 until 05/31/2028, which is one year
Sign the form only after every entry is complete. A form signed with blank lines can be filled in later by someone else.
How to Sign and Use the Kansas Minor Child Power of Attorney
After you complete the form, review it with the agent, sign it, and get copies to the people who need them. The steps below cover creating the document, signing it, sharing copies, and ending it later.
Download or create the template. Use the Create button on this page to fill the free form online, or download the free PDF, print it, and fill it by hand.
Review the finished form with the agent, and check that the dates fit the duration limit.[1]
Sign the form. If you complete the acknowledgment block on page 3, sign before the notary.
Give the signed original to the agent and keep a copy for yourself. Share copies with the child's school, doctor, or other healthcare provider so they know who may act for your child.
Keep the original in a safe place. If plans change, you may revoke or withdraw the power of attorney at any time.[1]
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Frequently Asked Questions
The answers below cover duration, revocation, the powers a parent keeps, whose consent is needed, and the form to follow. Each answer comes from Kan. Stat. Ann. § 38-2403, and the source is cited after it. Read the answers together with the requirements section above before you sign.
How long does a Kansas minor child power of attorney last?
A power of attorney under Kan. Stat. Ann. § 38-2403 cannot exceed one year in duration, but it may be renewed for one additional year. A serving parent on active duty service may sign one for longer than one year, and its duration cannot exceed the term of active duty service plus 30 days.[1]
Can a parent revoke a Kansas minor child power of attorney?
Yes. A parent who executes a power of attorney under this section has the authority to revoke or withdraw it at any time.[1]
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.
