Massachusetts Power of Attorney for Minor Child Form

A Massachusetts minor child power of attorney (POA) is a written authorization that lets a parent or guardian appoint a temporary agent. The appointment cannot last longer than 60 days.[1] Parents use it for various short-term reasons, such as being away or ill. This page on the FormsPal website gives you a free Massachusetts power of attorney for minor child form to fill out online or download as a PDF. The form states that you do not intend to give up your parental rights.

Last Updated: October 2026. This guide is reviewed and updated regularly to reflect current Massachusetts law. If you notice an error or outdated information, please contact us.

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What Are the Requirements for a Massachusetts Minor Child Power of Attorney?

Under state law, a Massachusetts minor child power of attorney must be a writing signed by the parent or guardian, or by someone at their direction. At least two witnesses must attest the writing, and the temporary agent must accept the appointment in writing.[1]

  • Signature: the parent or guardian signs, or another person signs at the direction of the parent or guardian.
  • Witnesses: at least two witnesses, each 18 years of age or older, must attest the writing.
  • Who cannot witness: neither witness may be the temporary agent.
  • Acceptance: the temporary agent must also give written acceptance of the appointment.[1]

The statute puts these requirements in one sentence:

Any delegation under this section shall be by a writing signed by, or at the direction of, the parent(s) or guardian(s) and attested by at least 2 witnesses 18 years of age or older, neither of whom is the temporary agent together with the written acceptance of the temporary agent.

Mass. Gen. Laws ch. 190B, § 5-103

Check that every required signature and date is complete. Keep the signed original of the POA in a safe place and give the agent a copy. Tell your family where it is kept, so others understand who is caring for the child.

Massachusetts Minor Child Power of Attorney Form Details

StateMassachusetts
Document NameMassachusetts Minor Child Power of Attorney Form
Relevant LawsMass. Gen. Laws ch. 190B, § 5-103
DurationUp to 60 days[1]
Avg. Time to Fill Out15 minutes
# of Fillable Fields55
Available FormatsAdobe PDF

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

The FormsPal Massachusetts minor child POA form runs four pages and has several parts. Work through the parts in order, from the parent and child on page 1 to the notary and witness blocks on pages 3 and 4. Each step below shows the part of the form you are filling in.

The screenshots under each step show the FormsPal Massachusetts 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.

  1. Parent or guardian and the minor child. On page 1, enter your personal details, starting with your name and address. Then initial Parent, Court-Appointed Guardian or Court-Appointed Conservator to show your role. Add the child's name, date of birth and address.
    Massachusetts minor child power of attorney: ON BEHALF OF MINOR CHILD, filled with sample entries
    Step 1: sample entries, not a real document.
  2. Second parent or guardian, and the agent. If there is a second parent, guardian or conservator, complete the additional statement the same way. Then enter the name and address of the agent (the attorney-in-fact) in the appointment paragraph.
    Massachusetts minor child power of attorney: Name, Currently residing at and more, filled with sample entries
    Step 2: sample entries, not a real document.
  3. Powers granted and successor agent. Select item 1 (all authority that may be delegated) or item 2 (limited authority). If you choose item 2, write the specific limited powers on the lines. Then enter the name and address of the alternate agent in the Successor Attorney-in-Fact paragraph.
    Massachusetts 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.
  4. Effective date. Enter the date the power of attorney takes effect and the date it ends. The appointment cannot last longer than 60 days, so set an end date within that limit.[1]
    Massachusetts minor child power of attorney: EFFECTIVE DATE, filled with sample entries
    Step 4: sample entries, not a real document.
  5. Date and sign. Read the statement that you do not intend to give up your parental rights. Fill in the day, month and year, then sign and print your name on the signature lines. Leave the notary and witness parts blank until you are with them.
    Massachusetts 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.
  6. Acknowledgment: county, date, officer, signer. Page 3 is the acknowledgment for a notary public. Enter the county, the date, the officer's name and title, and the name of the person signing.
    Massachusetts minor child power of attorney: STATE OF MASSACHUSETTS, filled with sample entries
    Step 6: sample entries, not a real document.
  7. Notary signature and seal. The notary signs this line and adds the seal. Leave it blank until the notary completes it.
    Massachusetts minor child power of attorney: Signature, filled with sample entries
    Step 7: sample entries, not a real document.
  8. First witness. On page 4, the first witness signs and adds a printed name, address and date.
    Massachusetts minor child power of attorney: Gen. Laws ch. 190B, § 5-103(b)), filled with sample entries
    Step 8: sample entries, not a real document.
  9. Second witness and the temporary agent. The second witness fills in the same four lines. The temporary agent then signs the last block on page 4 and adds a printed name and date.
    Massachusetts minor child power of attorney: Poa execution ma blocks.5.witness 2 signature, Poa execution ma blocks.6.printed name and more, filled with sample entries
    Step 9: sample entries, not a real document.
Template Preview
Create a high-quality Massachusetts Minor Child Power of Attorney Form online now!

Need a different form? Browse all Massachusetts POA forms on FormsPal, other state power of attorney forms, or start from the main power of attorney form page. If the child needs medical decisions made, see the Massachusetts medical power of attorney. For your own affairs, the Massachusetts durable power of attorney is the usual choice.

Frequently Asked Questions

Does a Massachusetts power of attorney for a minor child expire?

Yes. A parent or guardian may appoint a temporary agent for a period not exceeding 60 days.[1] The form has an effective date part with a start date and an end date, so the end date you enter must fall within that period.

What happens when you give someone power of attorney over your child?

The agent can use any power you have over the care, custody or property of the child. The one exception is the power to consent to the marriage or adoption of a minor.[1]

Does the other parent have to agree?

Sometimes. You may not appoint a temporary agent if the child has another living parent whose whereabouts are known and who is willing and able to provide care and custody. The exception is when that parent consents to the appointment in writing.[1]

Can I cancel or change a minor child power of attorney in Massachusetts?

Yes. The state statute says the appointing parent or guardian may revoke or amend the delegation, and the change is delivered to all interested persons.[1]

Is a Massachusetts caregiver authorization affidavit the same thing?

No. A caregiver authorization affidavit is a different document under a different law, and the form on this page is not one. With the affidavit, you can let an adult your child lives with share your rights over the child's education and health care, such as enrolling the child in school and consenting to medical treatment.[2] A power of attorney under section 5-103 lasts no more than 60 days.[1] The affidavit may be valid for up to 2 years and may be reauthorized. Its signing rule is also different. You sign the affidavit under the pains and penalties of perjury in the presence of 2 adult witnesses, neither of whom may be the caregiver, and the affidavit must be notarized. The caregiver also signs it and attests to being an adult with whom the child resides.[3] The Massachusetts court system publishes a caregiver authorization affidavit form on mass.gov.[4]

Frequently Asked Questions

What Is a Massachusetts Minor Child Power of Attorney?

A Massachusetts minor child power of attorney lets a parent or guardian hand a temporary agent the powers they hold over the care, custody or property of the child. The appointment is temporary and cannot last longer than 60 days.[1] The form gives the parent or guardian a place to name the agent, to name a successor agent, and to limit the powers granted.

General information, not legal or tax advice.

Sources

  1. Mass. Gen. Laws ch. 190B, § 5-103.
  2. Mass. Gen. Laws ch. 201F, § 3. Accessed October 16, 2026.
  3. Mass. Gen. Laws ch. 201F, § 5. Accessed October 16, 2026.
  4. Massachusetts Trial Court, Caregiver Authorization Affidavit. Accessed October 16, 2026.
Published: Jul 6, 2024
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.