Kentucky Minor Child Power of Attorney Form

Kentucky Minor Child Power of Attorney Form Details

The free, printable PDF on this page is the statutory form from Ky. Rev. Stat. § 403.353(1), Power of Attorney for Temporary Delegation of Parental or Legal Custody and Care.^[2.2] No state agency publishes a PDF of it, so FormsPal set the statute's form text word for word. It has two pages and 27 fillable fields, and the signature lines are left blank for ink. FormsPal's Create My Document builder makes a separate document. The table lists the basics. If you need a different document, browse the Kentucky POA forms or the full POA form library.

Kentucky Law for a Minor Child Power of Attorney

Under Ky. Rev. Stat. § 403.352, a parent or legal custodian may temporarily delegate parental rights and responsibilities for the child's care and custody to another person. The statute calls that person the attorney-in-fact. It sets rules for what you cannot delegate, who may serve and how the paperwork is handled.^[1.1]

• Duration: a period not to exceed one year.^[1.1]
• Revocation: the parent or legal custodian has the authority to revoke or withdraw the delegation at any time.^[1.1]
• Pay: the agent may not be paid for serving.^[1.1]

Powers You Cannot Delegate in Kentucky

Kentucky lets a parent delegate the traditional parental authority over the care and custody of the child, but not every power.^[1.1] A minor child power of attorney cannot give the agent any of these three:

• Consent for the child to marry
• Consent for an abortion or inducement of an abortion to be performed on or for the child
• The termination of parental rights to the child

Who Can Be the Attorney-in-Fact for a Minor Child in Kentucky?

Kentucky treats a grandparent, aunt, uncle, or adult sibling of the child differently from everyone else. If your agent is anyone other than those relatives, a full criminal history and child abuse and neglect background check must be done before signing.^[1.2]

• The results must be kept with the document that sets up the delegation.^[1.2]
• A child cannot be placed with someone whose background check shows a criminal history of child abuse and neglect.^[1.2]

The statute also says the attorney-in-fact must not be compensated.^[1.1] That makes trust and availability the right basis for your choice, because no fee is involved.

FormsPal suggests talking with the person first about the dates, the child's routine and who to call in an emergency. Write down contact details for each parent or legal guardian and for the agent.

Preparation Checklist Before You Start

These are practical tips from FormsPal, not legal requirements. Gathering the details first makes the paperwork quick, and the acknowledgment at the end asks for the same names again.

• Collect each child's full name and date of birth, and the attorney-in-fact's full name, street address and home and work phone numbers.
• Decide between Section 3, which delegates all of your power and authority, and Section 4, where you write in specific powers and responsibilities.
• Pick an end date that falls within one year of the start date.^[1.1]
• Plan for the attorney-in-fact to sign the Section 8 acceptance, and for both of you to appear before a notary public for the acknowledgment.
• If your agent is outside the four relatives, arrange the screening first and keep the results with the document.^[1.2]
• Make copies for each signer and for the agent.

How to Fill Out the Kentucky Power of Attorney Form for a Minor Child

The PDF this page hands out is the statutory form from Ky. Rev. Stat. § 403.353(1).^[2.2] It has two pages: Sections 1 to 8, then a County line and an acknowledgment for a notary public. The PDF has 27 fillable fields, so you can type your entries with the FormsPal PDF editor or print it and write by hand. The three signature lines are left blank for ink. The nine steps below follow the form in order and use its own section numbers.

The screenshots under each step show the Kentucky statutory form for a power of attorney for temporary delegation of parental or legal custody and care with sample entries in blue, so you can see where each answer goes. The names, addresses, dates and phone numbers are examples only.

1. Section 1 (page 1). Certify that you are the parent or legal guardian by writing each minor child's full name and date of birth. The form has lines for up to three children.

   

2. Section 2 (page 1). Write the full name of the person you designate as Attorney-in-fact, their street address, city, state and zip code, and their home and work phone numbers.

   

3. Section 3 (page 1). Section 3 is printed in full and needs no entry. It delegates all of your power and authority regarding the care, custody and property of each child named in Section 1, including school enrollment, school and other records, school activities, and consent for medical and dental treatment. The form says that if Section 4 is completed, Section 3 does not apply.^[2.2]
4. Section 4 (page 1). To delegate only some powers, write the specific powers and responsibilities on the lines. The sample uses Section 4. Either way, the delegation does not include the power or authority to consent to marriage or adoption of the child, the performance or inducement of an abortion on or for the child, or the termination of parental rights to the child.^[2.2]

   

5. Section 5 (page 2). Write the beginning and ending dates. The form says the power of attorney is effective for a period not to exceed one year, and that you reserve the right to revoke this authority at any time.^[2.2]

   

6. Section 6 (page 2). Use Section 6 instead of Section 5 only if you are a parent or legal guardian on active duty as governed by KRS Chapter 403A. Write the dates your active duty service is scheduled to begin and estimated to end. The form says the delegation may not last more than one year or the term of your active duty plus thirty days, whichever is longer.^[2.2] The sample leaves Section 6 blank.
7. Section 7, BY (page 2). Sign on the BY line, over (Parent/Legal Guardian signature). You and the attorney-in-fact then appear before the notary public who completes the acknowledgment (step 9).

   

8. Section 8 (page 2). The attorney-in-fact signs on the (Attorney-in-fact signature) line, under the sentence "I hereby accept my designation as Attorney-in-fact for the minor child or children specified in this power of attorney."^[2.2]

   

9. County of and ACKNOWLEDGMENT (page 2). This part is for the notary public. The form prints a County of line and no State line. The notary fills in the day, month and year and the names of the parent or legal guardian and the attorney-in-fact, who personally appear and acknowledge that each executed the instrument as a free and voluntary act. The notary then signs under "Witness my hand and official seal" and fills in the date the commission expires.^[2.2]

   

How the statutory form is signed. You sign on the BY line, and the attorney-in-fact signs the Section 8 acceptance. The form ends with one notary acknowledgment, in which a notary public certifies that the parent or legal guardian and the attorney-in-fact personally appeared and acknowledged that each executed the instrument as a free and voluntary act.^[2.2] Under Ky. Rev. Stat. § 403.353(2), the power of attorney is legally sufficient if the wording of the form complies substantially with the statutory form, the form is properly completed and signed, and the form or parties are not otherwise invalid under § 403.352.^[2.1] Ky. Rev. Stat. § 403.352 limits the delegation to a period not to exceed one year.^[1.1] Section 6 of the form sets the limit for a parent or legal guardian on active duty.^[2.2]

The FormsPal template from Create My Document. The template is a general form, not the statutory form. Under Ky. Rev. Stat. § 403.353, a power of attorney under § 403.352 shall be substantially in the statutory form, and that form is the PDF on this page.^[2.2] The template does not follow it.

Common Mistakes to Avoid

Most problems come from details that are easy to miss. Review these points against Kentucky's statute and your own situation before you hand the document to anyone else, and keep a copy for your own records.^[1.1]

• Asking the agent to give consent for a marriage or an abortion, or to agree to a termination. Kentucky does not let a parent delegate those three powers.^[1.1]
• Leaving the end date open or setting it more than one year out.^[1.1]
• Skipping the required screening for an agent who is not a grandparent, aunt, uncle, or adult sibling.^[1.2]
• Forgetting to keep the screening results with the document.^[1.2]
• Agreeing to pay the agent for serving.^[1.1]
• Writing vague powers in Section 4. Specific wording leaves less room for confusion.

Related Legal Forms and Nearby States

A minor child power of attorney covers only part of a family's paperwork. These FormsPal pages cover related forms in Kentucky and the same document in nearby states, whose rules differ from Kentucky's.

• Temporary custody forms
• Kentucky motor vehicle POA
• Tennessee minor child POA
• Virginia minor child POA
• West Virginia minor child POA
• Illinois minor child POA

Frequently Asked Questions

These answers come from Kentucky's minor child power of attorney statute, Ky. Rev. Stat. § 403.352. For anything about your own situation, such as a custody order, speak with a Kentucky attorney.

How long is a minor child power of attorney good for in Kentucky?

It can last for a period not to exceed one year.^[1.1] The delegation cannot remain in effect for longer than that, so choose a specific end date that falls within one year of the start date.

Can a parent cancel a minor child power of attorney in Kentucky?

Yes. The parent or legal custodian of the child has the authority to revoke or withdraw the delegation at any time.^[1.1] FormsPal suggests putting a revocation in writing and giving a copy to the agent.

Can the attorney-in-fact be paid in Kentucky?

No. The attorney-in-fact named in the document must not be compensated, so the person you appoint cannot charge for serving.^[1.1]

What powers can a parent not delegate in Kentucky?

The traditional rights and responsibilities for the care and custody of the child can be delegated for a period not to exceed one year, with three exceptions:^[1.1]

• Consent to marry
• Consent to an abortion or its inducement
• Termination of parental rights

Does the attorney-in-fact need a background check in Kentucky?

It depends on who you choose. A grandparent, aunt, uncle, or adult sibling of the child does not need one. For anyone else, a full criminal history and child abuse and neglect background check must be done before the document is signed, and the results must be kept with it.^[1.2]

General information, not legal or tax advice.

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Sources

1. Ky. Rev. Stat. § 403.352.
   • 1.1 § 403.352
   • 1.2 § 403.352(10)
2. Ky. Rev. Stat. § 403.353. Accessed October 17, 2026.
   • 2.1 § 403.353(2)
   • 2.2 § 403.353(1), statutory form

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.