Wyoming Minor Child Power of Attorney Form

The Wyoming minor child power of attorney form is a document that is provided by parent(s) or guardian to provide temporary powers over the child(ren) in their care, to a temporary custodian in the event of absence or illness. The document must be witnessed and may be revoked in writing by the parent(s) or guardian as they wish.

How to Write

Step 1 – Child(ren)/Parent(s)/Guardian(s) Information –

  • Enter the name(s) of the Child(ren)
  • Date(s) of birth in dd/m/yy format
  • AND
  • Provide the Parent(s) or Guardian(s) name(s)\
  • Check the appropriate box
  • Address
  • City
  • State
  • AND
  • Co-Parent’s/Guardian’s name
  • Check the box that applies
  • Address
  • City
  • State

Step 2 – Appointment of Temporary Custodian –

  • Enter the name of the Attorney In Fact/Temporary Custodian
  • Relationship to the child(ren)
  • Address
  • City
  • State

Step 3 – Delegation of Powers –

  • Initial and check the box that indicates the type of powers granted

Step 4 – Commencement of the Document –

  • Enter the date in dd/m/yy format
  • Initial and check one box indicating the commencement

Step 5 – Signatures – To be signed in the presence of a notary

  • Parent’s/Court Appointed Guardian’s Signatures
  • Printed names
  • Date of signatures in mm/dd/yyyy format

Step 6 – Affirmation by Witnesses –

  • Witnesses must enter their names in their respective paragraphs
  • Read and agree to the affirmations
  • Witnesses signatures
  • Printed names
  • Date of signatures in mm/dd/yyyy format

Step 7 – Notary Acknowledgement –

  • Signatures shall be witnessed by a notary
  • Once witnessed, the notary shall provide all remaining information in acknowledgement
  • The notary shall affix the official seal