Indiana Minor Child Power of Attorney Form

The Indiana minor child power of attorney form is a document that is completed by the parent(s) of minor child(ren) for a temporary Agent to assume all responsibilities to include all decision making for the child(ren), attending to medical and dental responsibilities, sign for school attendance, after school activities and all other duties required to provide a well rounded environment while the child(ren) are in the care of the temporary guardians. The guardian(s) must always act in the best interest of the child(ren) while he/she/they are in their care.

This document must be signed before a Notary Public. The parent(s) may revoke this document as they wish, in writing, and delivering proper notice to the temporary guardian(s) of the child(ren). All arrangements must be followed in accordance with the appropriate state statutes.

How to Write

Step 1 –  Parent(s), Child(ren), Temporary Guardian(s) – Enter the following information:

  • Enter the name(s) of the parent(s)
  • Enter the name(s) of the child(ren) – If more space is needed for more children, add a sheet and attach the information to the document
  • Enter the name(s) of the guardian(s)
  • Enter the City in the state of Indiana, where the child(ren) will be temporarily placed

Step 2 – Document Information –

  • The parent(s) and guardian(s) alike, must read the remainder of the document to be certain that all parties understand the contents. If any of the parties involved find that they are unsure of the language, they may wish to consult with a Family Law attorney to provide proper instruction and interpretation.
  • Enter the period in which the child(ren) shall remain with the guardian(s)
  • Enter the breakdown in days that shall not exceed 365 days or 1 year

Step 3 – Notary Acknowledgement –

  • The notary will prepare the required notary information in the notary public section of the document in preparation to witness the entry of  parent(s) contact information.
  • Enter the parent(s) or legal guardian(s) contact information as follows:
  • Name(s)
  • Mailing Address
  • Emergency Telephone Number
  • Email Address