Arizona Minor Child Power of Attorney Form

The Arizona minor child power of attorney form is a document that allows a parent to grant temporary rights to a third person to make decisions on that parent’s behalf regarding the minor child or children. In order to accomplish the delegation of an attorney in fact/agent, a parent must execute a power of attorney that will appoint the third person as their agent to make decisions for the minor child(ren). Unlike a minor guardianship, the powers that will be provided under this statute are immediately effective, after a parent executes an appropriate power of attorney. However, the authority granted (under section 14-5104) is only in force for six months. At this point the power of attorney will automatically expire.  If the parent(s) wish to continue the allowance of the third person to make decisions on behalf of the minor child(ren), a new power of attorney must be executed (preferably in advance of the expiration date) by the Arizona minor child(ren’s), parent will be required. (See  A.R.S. § 14-5501)

How To Write

Step 1 – Begin by downloading the packet provided.

  • Read the first 3 pages of the packet to better educate yourself with regard what to do and what to expect.

Step 2 – Section 1 – Information Needed – When you complete your review of the information, you will reach the forms to be completed. Enter the following information to begin:

  • Read the paragraph at the top of the form
  • Provide the name of the parent or guardian of the child(ren) who will granting temporary authority
  • Provide the full legal name for each child
  • Provide the date of birth for each child
  • Provide the full legal name of the attorney in fact, who will accept delegation for the temporary care of the child(ren)
  • Provide the full physical address of the attorney in fact who will be temporarily responsible for the child(ren)

Step 3 – Section 2 – Responsibilities Delegated –  In this section, the parent or guardian who will be granting temporary care of their child(ren) to an attorney in fact, must make a selection as to whether they will allow all parental responsibilities to be allowed or only specific responsibilities.

  • Make your selection by clicking the boxes provided
  • If you are only allowing specific responsibilities, you must state the allowable responsibilities in the lines provided. If more room is required, you may add a sheet outlining the allowable responsibilities and attach to the form

Step 4 – Section 3 – Duration – In the state of Arizona, this power of attorney will last up to 6 months. If you are a member of the military, it may be granted for up to one year or until it’s been revoked either way. In this section, select only one of the options and enter the required information into the blank lines provided:

  • After making and marking your selection and entering the required dates into the lines, read sections 4 and 5.

Step 5 – Section 6 – Signatures – Do not complete this section before acquiring the services of a notary public:

  • Once you are before a notary with your witness enter the name of the principal and the date in which you are signing the document into the lines provided
  • Sign the document on the signature line for the principal
  • Your witness will then enter their name into the line provided inside of the paragraph for the witness
  • The witness will sign on the line for the witness

Step 6 – Section 7 – Notarization – The remainder of this form is to be completed by the notary and their seal must be affixed.

  • Once the notarization is complete, make copies for your (the principal’s) records and for the attorney in fact so that they may properly, temporarily care for your child(ren) as you wish.