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When it comes to ensuring the well-being of a child in Nebraska, having the right legal documents in place is crucial. One important tool is the Nebraska Power of Attorney for a Child form. This document allows a parent or legal guardian to designate another trusted adult to make decisions on behalf of their child, especially in situations where the parent may be unavailable. The form covers various responsibilities, including healthcare decisions, educational matters, and general care. It provides a clear framework for who can act on behalf of the child, ensuring that there is no ambiguity in critical situations. This arrangement not only gives peace of mind to parents but also ensures that the child's needs are met promptly and effectively. Understanding how to properly fill out and execute this form is essential for anyone considering this important step in safeguarding their child's welfare.
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Nebraska Power of Attorney for a Child
This Power of Attorney for a Child document ("Document") is created in accordance with the provisions of the Nebraska Uniform Power of Attorney Act (Sections 30-4001 to 30-4045, Nebraska Revised Statutes). It grants temporary legal authority to an individual (the "Agent") to make decisions for a minor child in the absence or unavailability of the parent(s) or legal guardian(s).
1. Parties Information
The parent(s) or legal guardian(s) executing this Document are referred to as the "Principal(s)" and hereby appoint the following individual as the Agent:
Principal's Name: ____________________________________________________________
Principal's Address: __________________________________________________________
Principal's Contact Number: ___________________________________________________
Additional Principal (if applicable) Name: ________________________________________
Additional Principal's Address: ________________________________________________
Additional Principal's Contact Number: __________________________________________
Agent's Name: ________________________________________________________________
Agent's Address: ______________________________________________________________
Agent's Contact Number: _______________________________________________________
2. Child's Information
Name of Child: _______________________________________________________________
Child's Date of Birth: _________________________________________________________
Child's Social Security Number (optional): ________________________________________
3. Powers Granted
This Document grants the Agent the authority to make decisions concerning the child's:
- Healthcare, including medical treatment decisions and access to medical records.
- Education, including school enrollment and participation in school-related activities.
- Travel, including domestic and international trips.
- General welfare, including decisions about extracurricular activities, religious participation, and other aspects of daily life.
4. Term
This Power of Attorney shall commence on ______________________ and shall remain effective until ______________________ unless it is revoked earlier by the Principal(s).
5. Revocation
The Principal(s) may revoke this Power of Attorney at any time by providing written notice to the Agent. It is suggested that the Principal(s) also provide notice of revocation to any third party relying on this Document.
6. Signatures
The effectiveness of this Document is contingent upon the signatures of the Principal(s), Agent, and a Notary Public. It is recommended to have all signatures notarized to affirm the identities of the signing parties.
Principal's Signature: ___________________________________ Date: ________________
Additional Principal's Signature (if applicable): ___________________ Date: ________________
Agent's Signature: ______________________________________ Date: ________________
State of Nebraska
County of ___________________________
This document was acknowledged before me on ____________ (date) by _________________________________________ (name(s) of Principal(s) and Agent).
Notary Public Signature: ___________________________________
My commission expires: ________________
Document Features
| Fact Name | Description |
|---|---|
| Purpose | The Nebraska Power of Attorney for a Child form allows a parent or legal guardian to designate another adult to make decisions on behalf of their child. |
| Governing Law | This form is governed by Nebraska Revised Statutes, specifically Section 30-2601 to 30-2623. |
| Duration | The authority granted in this form can last until a specified date or until revoked by the parent or guardian. |
| Eligibility | Any parent or legal guardian of a minor child can complete and sign this form. |
| Signatures Required | The form must be signed by the parent or legal guardian granting the power of attorney. |
| Notarization | While notarization is not mandatory, it is recommended to enhance the document's validity. |
| Revocation | The parent or guardian can revoke the power of attorney at any time through a written notice. |
| Limitations | The designated adult cannot make medical decisions unless specifically authorized in the form. |
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