Durable Power Of Attorney For Minor Child - Iowa Legal Aid
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4DURABLE POWER OF ATTORNEY FOR MINOR CHILD
1.
Naming of Agent
I, ___________________________________, appoint the person listed below as my
Agent for decisions about my minor child(ren). The person who shall act as Agent is:
Name: ___________________________________________________
Address: _________________________________________________
City/State/Zip: _____________________________________________
Alternate Agent
If the Agent is not available, I appoint this person under the same terms:
Name: ___________________________________________________
Address: _________________________________________________
City/State/Zip: _____________________________________________
The child(ren) covered by this Power of Attorney are:
FULL NAME OF CHILD(REN)
DATE OF BIRTH
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