Tennessee Power of Attorney for a Child
This Power of Attorney is executed pursuant to Tennessee law and allows a parent or guardian to designate a trusted individual to make decisions regarding the care and custody of their child in their absence.
1. Principal Information:
- Name of Principal (Parent or Guardian): ___________________________
- Address of Principal: ___________________________________________
- Phone Number of Principal: ______________________________________
- Email Address of Principal: ______________________________________
2. Child Information:
- Name of Child: _________________________________________________
- Date of Birth of Child: __________________________________________
- Address of Child (if different from Principal): ______________________
3. Attorney-in-Fact Information:
- Name of Attorney-in-Fact: ________________________________________
- Address of Attorney-in-Fact: _____________________________________
- Phone Number of Attorney-in-Fact: ________________________________
- Email Address of Attorney-in-Fact (if applicable): ________________
4. Authority Granted: The Principal grants the Attorney-in-Fact the authority to:
- Make decisions regarding the child's healthcare and medical treatment.
- Make decisions regarding the child's education and schooling.
- Authorize emergency medical treatment as needed.
- Handle any day-to-day decisions regarding the child's welfare.
5. Effective Date: This Power of Attorney shall become effective immediately and shall remain in effect until ____________ (insert date) or until revoked in writing by the Principal.
6. Revocation: The Principal may revoke this Power of Attorney at any time.
7. Signatures:
IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney this _____ day of __________, 20___.
______________________________
Signature of Principal
______________________________
Signature of Witness
______________________________
Printed Name of Witness
______________________________
Signature of Notary Public
______________________________
Printed Name of Notary Public