New Hampshire Power of Attorney for a Child Template
This Power of Attorney (POA) template is designed to allow a parent or guardian in New Hampshire to grant another individual the authority to make decisions about their child's welfare, including education, health, and daily care decisions, in accordance with the New Hampshire Revised Statutes Annotated (RSA) 464-A.
By completing and signing this document, the parent or guardian (hereinafter referred to as the "Principal") appoints an Attorney-in-Fact to act on their behalf in regards to their child or children. This POA is subject to the laws of the State of New Hampshire and may be revoked by the Principal at any time.
Parties Involved
Principal's Information:
- Full Name: ___________________________________
- Address: _____________________________________
- City, State, Zip Code: _________________________
- Relationship to Child(ren): _____________________
Attorney-in-Fact's Information:
- Full Name: ___________________________________
- Address: _____________________________________
- City, State, Zip Code: _________________________
- Relationship to Child(ren): _____________________
Child(ren)'s Information:
- Full Name: ___________________________, Date of Birth: ___________
- Full Name: ___________________________, Date of Birth: ___________
- Full Name: ___________________________, Date of Birth: ___________
Terms and Conditions
This Power of Attorney becomes effective on __________(Date) and shall remain in effect until __________(Date), unless sooner revoked by the Principal.
The Attorney-in-Fact is granted the authority to act in the best interests of the child(ren) in matters pertaining to health care, education, and the general welfare. This includes but is not limited to making decisions regarding medical treatment, enrolling in school, and approving extra-curricular activities.
Signatures
This document must be signed by the Principal in the presence of a Notary Public to be legally enforceable.
Principal's Signature: _______________________________ Date: ___________
Attorney-in-Fact's Signature: __________________________ Date: ___________
State of New Hampshire
County of ___________________
Subscribed and sworn to (or affirmed) before me on this ______ day of _______________, 20__, by ___________________________________ (name of Principal) and ___________________________________ (name of Attorney-in-Fact).
Notary Public: _______________________________________
My Commission Expires: __________________