Pennsylvania Minor Child Power of Attorney Form

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A Pennsylvania minor child power of attorney is a signed document that names an adult, called the agent, to act for a child for a set period. Build yours online or download the PDF. See all Pennsylvania power of attorney forms you can create for this state.

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What Is a Pennsylvania Minor Child Power of Attorney?

A minor child power of attorney is a short form that names an adult, called the agent or attorney-in-fact, to act for your child for a set time. The form covers these details:

  • The child's name, date of birth and address
  • The parent, guardian or conservator who signs
  • The agent and a backup agent
  • The start and end dates

When parents cannot exercise custody of their children, they appoint a temporary caretaker by signing a fillable power of attorney form. There are various reasons for transferring custody. For example, if the parents are planning a long vacation together, leaving their minor children behind, they should appoint a legal guardian in advance.

Usually, parents tend to choose a close family friend or a relative whom they trust unquestionably. When appointing a guardian, make sure that your children are comfortable with this particular person in the first place. Only the minor’s parents or an existing legal guardian can perform such actions. All principals must give their written consent for transferring custody, even temporarily.

Pennsylvania Minor Child Power of Attorney Form Details

Document Name Pennsylvania Minor Child Power of Attorney Form
Other Name Pennsylvania Parental Power of Attorney
Relevant Laws No Statute
Duration No Statute
Avg. Time to Fill Out 10 minutes
# of Fillable Fields 44
Available Formats Adobe PDF

Keep the phone number and address of the agent with your copy of the form. Add the school and doctor contact details for your child too, so they are easy to find.

Custody and Guardianship in Pennsylvania

Each state has laws that govern custody and guardianship rights of minor children, and Pennsylvania is not an exception. According to the local legislature, one would need to use the Pennsylvania Minor Child Power of Attorney Form to assign temporary custody rights to another person.

Family Law is very complex. Therefore, we strongly advise you to familiarize yourself with local regulations in advance.

The Pennsylvania Code (Chapter 231, Title 1915) regulates all actions regarding both legal and physical custody and guardianship in the state. In some cases, the Uniform Child Custody Jurisdiction and Enforcement Act comes into force. Under these regulations, the court can exercise or decline jurisdiction over the case.

Guardianship does not require legal proceedings. No petition, complaint, or Criminal Record of Abuse History Verification is needed for establishing guardianship. It is a relatively simple procedure. If you ever need legal assistance regarding custody matters, please refer to the Pennsylvania Code. The document precisely describes the legal order of a lawsuit and even provides applicants with all the necessary court form templates.

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

The steps below follow the FormsPal template this page hands out, which you can fill in online or download as a PDF. You can also fill in the PDF with our online PDF editor. Work through its seven parts in order, from the parent or guardian and the child to the notary page.

The screenshots under each step show the FormsPal Pennsylvania 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. On behalf of minor child: first parent, guardian or conservator

    Enter your name and address, then put your initials on the line beside Parent, Court-Appointed Guardian or Court-Appointed Conservator. Next, enter the child's name, date of birth and address. Check that the name and date of birth match the child's birth certificate.

    Step 1 to filling out a pennsylvania child power of attorney child

    Step 2 to filling out a pennsylvania child power of attorney template parent

    Pennsylvania 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 and the agent

    Likewise, fill in the second blank section for the second parent or a co-guardian (if applicable). Then enter the name and address of the agent (attorney-in-fact) you appoint for the child.

    Step 3 to filling out a pennsylvania minor blank power of attorney guardian

    Pennsylvania Minor Child Power of Attorney: Name, Currently residing at and more, filled with sample entries
    Step 2: sample entries, not a real document.
  3. Purposes and successor attorney-in-fact

    In the next section, the parents or the legal guardian must define the scope of powers assigned to the Attorney-in-Fact and establish the period of temporary custody.

    Choose option 1 for all authority, or option 2 for limited authority and write what the agent may do on the line. In this case, the confidants must detail the extent to which this authority will be restricted. Then enter the name and address of the alternate agent, the successor attorney-in-fact.

    Step 4 to filling out a pennsylvania child poa form powers

    Pennsylvania 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 starts and the date it continues until. The principals have the legal right to revoke a power of attorney at any time.

    Pennsylvania Minor Child Power of Attorney: EFFECTIVE DATE, filled with sample entries
    Step 4: sample entries, not a real document.
  5. Sign and date the document

    Read the statement about parental rights, fill in the day, month and year, then sign and print your name on the lines. A second parent or guardian uses the second signature line.

    Pennsylvania 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: state, county and officer

    Leave page 3 for the notary or officer. The county, the date, the officer's name and title and the name of the person appearing are filled in at the signing.

    Pennsylvania Minor Child Power of Attorney: STATE OF PENNSYLVANIA, filled with sample entries
    Step 6: sample entries, not a real document.
  7. Officer signature and seal

    The officer who completes the acknowledgment signs the Signature line and adds a seal.

    Pennsylvania Minor Child Power of Attorney: Signature, filled with sample entries
    Step 7: sample entries, not a real document.

How to Sign and Use the Form

After the blanks are filled in, a few simple habits keep the form easy to use. Read it once more, collect the signatures and keep copies in a place you can reach.

  1. Sign the document

    All the existing principals and the Attorney-in-Fact must put down their signatures and printed names as a sign of consent.

    Step 5 to filling out a pennsylvania child power of attorney sample signatures

  2. Add the witnesses

    Two witnesses are required to enforce the guardianship. They also need to sign the document and put down their printed names.

    Step 6 to filling out a pennsylvania child power of attorney example witnesses

  3. Have the document notarized

    At the final stage, the notary public shall provide for notarization and thus confirm the document’s execution.

  4. Keep copies

    Make a copy of the signed document for each person named in it, and store the original where you can find it.

Other documents you can build on FormsPal for this state or for children in general are listed below. Each link opens a page with its own template, a short guide and a fillable form, so you can compare them side by side.

Template Preview
Create a free high quality Pennsylvania Minor Child PoA online now!

Frequently Asked Questions

A minor child power of attorney names an agent for your child for a set period. The FormsPal template has lines for the parent or guardian, the child, the agent and a backup agent.

Who can I choose as the agent?

Many parents choose a close family friend or a relative they trust. Pick someone your child feels comfortable with, and talk to that person before you fill in the form.

What do I have to have ready before I start?

Have these details ready:

  • The names and addresses of the parent or guardian, the child and the agent
  • The child's date of birth
  • The start and end dates you want the document to cover
  • The name and address of a backup agent

The notary or officer completes page 3 at the signing.

What is the difference between all authority and limited authority?

Option 1 on the form covers all of the authority it describes, such as consent to medical treatment and school decisions. Option 2 limits the agent to the tasks you write on the line.

What is a successor attorney-in-fact?

A successor attorney-in-fact is a backup agent. You write that person's name and address in the successor section on page 2 of the form.

Can more than one parent use the same form?

The form has a second statement for an additional parent, guardian or conservator, and two signature lines. Fill in both parts when two people sign.

Can I fill out the form on my phone or tablet?

Yes. Build the document online, save your progress and finish on any device. You can also download the PDF and print it.

General information, not legal or tax advice.

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.