 | Florida Minor Child Power of Attorney Form |
The Florida minor child power of attorney form is a document that allows a parent to allow another person to temporarily make decisions for their children sue to illness or temporary absence. The Guardian(s) would petition the court to accomplish placement of the child(ren) safely until the parents are able to take their children back home. This keeps families from losing custody of their children. Complete the document and file it with the courts to begin the process.
How To Write
Step 1 – Guardian(s) must Download the Form –
- Begin by reading the information at the top of the document (1 through 4) – L:eave the first page blank as it is the page where the judge will record the decision
Step 2 – Child(ren’s) Information- (If more room is needed for additional children, add additional sheets as needed and attach them to the document) – Enter the following:
- Enter the (Child(ren’s) Name(s)
- Enter the Guardian’s Information –
- Name
- Social Security Number
- Date of Birth
- Residence Address
- Mailing Address
- U.S. Citizen? (Check yes or No)
- Employer’s Name and Address
- Applicant’s Position
- Marital Status and Name of Spouse if applicable
- Home Phone
- Length of Residence in County Where the Application is Filed
- If the current guardian is serving for any other ward, list names of each ward, court file number(s), circuit court(s) in which the case(s) is/are pending and whether applicant is acting as the limited or plenary guardian of the person or property or both: (attach additional pages if needed)
- Does the Applicant have any Physical Disabilities?
- If Yes, describe and state whether or not the disability may affect the applicant’s ability, in any degree, to serve as guardian
- Has applicant ever been treated for the following: a. Mental condition? Yes or No to all of the questions
- Alcohol? Drugs?
- Other?
- Nature of Condition
- If yes was answered to any of the above, state date, time, location of treatment and name of physician or professional involved
- Has applicant ever been judicially determined to have committed abuse or neglect against a child as defined by Florida Statutes? (check yes or no)
- AND
- Has applicant ever been the subject of a confirmed report of abuse, neglect, or exploitation which has been contested or upheld pursuant to the provisions of Sections 415.104 and 415.1075, Florida Statutes? (check yes or no)
- Has applicant ever been charged with fraud, misrepresentation or perjury in a judicial or administrative proceeding? (check yes or no)
- Has applicant ever been (check yes or not to each option) – a. Charged with a felony?
- Arrested for a felony?
- Convicted of a felony?
- Entered a plea of guilty or no contest to a felony?
- If yes, to any of the above, furnish details, including type of offense, location and final disposition
- AND
- Has applicant ever been: (Check yes or no to all selections) Charged with any crime other than a felony?
- Arrested for any crime other than a felony?
- Convicted of any crime other than a felony?
- Entered a plea of guilty or no contest to a crime other than a felony?
- If yes, to any of the above, furnish details, including type of offense, location and final disposition
- AND
- Has applicant ever held a position which required bonding? Has applicant, in the past, ever served as guardian of a person or of a person’s property?
- If yes, describe below, including reason for termination of fiduciary position
- AND
- Has applicant ever been held in contempt of court or removed as a guardian?
- If yes, please describe
- Has applicant ever filed for bankruptcy?
- If yes, state date and location of court
- What is applicant’s relationship to the alleged incapacitated person (or ward, if renewal application)?
- Is applicant, or applicant’s business or corporation or other business entity a creditor of or providing professional, personal or business services to the incapacitated person? If yes, furnish details
- Is applicant employed by a business, corporation or other business entity which is providing professional, personal or business services to the incapacitated person?
- If yes, furnish details
- Is applicant a health care provider for the alleged incapacitated person?
Step 3 – Education History of Applicant – Enter all of the information available with regard to education – Provide the following:
- High School
- College
- Other
Step 4 – Employment Experience –
- Name and Address
- Date
- Reason for Leaving
- Has applicant ever been discharged from employment?
- If yes, please explain
- Has applicant ever been a member of the armed forces of the U.S.?
- If yes, what branch, dates and military serial number
Step 5 – Personal References – Read the References Section –
- Give the names, addresses and telephone numbers of three (3) responsible persons who have been closely associated with applicant and who have known applicant for five (5) years or more, not including relatives or spouse
- AND
- Does applicant possess any special educational qualifications (financial, business, or otherwise) that uniquely qualifies applicant to be appointed as guardian?
- If yes, describe
- Has applicant received instruction and training which covered the legal duties and responsibilities of a guardian, the rights of an incapacitated person, the availability of local resources to aid a ward, and the preparation of rehabilitation plans and annual guardianship reports, including financial accounting for the ward’s property?
- If yes, indicate when and where training was received. If the instruction and training was the professional guardianship class required by ‘744.1085 then please also state whether you have taken the professional guardian competency examination. If you have taken the professional guardian competency examination, you must attach proof that you passed the examination. Proof of passing the professional guardian competency examination is required only for initial applications.
Step 6 – Signature –
- Once all of the fields have been completed, the applicant must :
- Enter the date in which the document has been completed
- Enter Applicant’s Signature
