Iowa Power of Attorney for a Child
This document is designed to grant temporary guardianship authority in the state of Iowa. By completing this Iowa Power of Attorney for a Child, you authorize another individual to make decisions and act on behalf of your child(ren) as outlined in Iowa Code Chapter 633B. If you have any doubts or require legal advice, please consult with a legal professional.
Please fill in the blanks to complete this Power of Attorney:
I, ________________[Parent/Legal Guardian Full Name], residing at ________________[Address, City, Iowa, Zip], appoint ________________[Appointed Guardian's Full Name] of ________________[Address, City, Iowa, Zip], as the temporary guardian of my child(ren):
- Name: ________________[Child's Full Name], Date of Birth: ________________[DOB]
- Name: ________________[Child's Full Name], Date of Birth: ________________[DOB]
This Power of Attorney shall commence on ________________[Start Date] and will end on ________________[End Date], unless I revoke it sooner in writing.
The appointed guardian will have authority to make decisions regarding:
- The child(ren)’s education, including but not limited to the authority to enroll the child(ren) in school, advocate for their educational needs, and access their educational records.
- Medical care, including the power to consent to medical, dental, and mental health treatment on behalf of the child(ren).
- Participation in extracurricular activities, including the authority to enroll the child(ren) in such activities and make related arrangements.
I affirm that this Power of Attorney does not revoke the rights of the child(ren)'s other parent in regards to guardianship or decision-making for the child(ren).
This Power of Attorney shall be governed by the laws of the state of Iowa. Any disputes arising from this document will be subject to the jurisdiction of Iowa courts.
Parent/Legal Guardian Signature: ________________
Date: ________________
Appointed Guardian Signature: ________________
Date: ________________
Notary Public (if required): ________________
Date: ________________