Hawaii Power of Attorney for a Child
This Power of Attorney form is designed for use in the state of Hawaii and conforms to state laws pertaining to the delegation of parental authority. This document allows a parent or legal guardian to grant authority to another individual to make decisions on behalf of their child.
Principal Information
Name: _______________________________
Address: _____________________________
City, State, Zip: ______________________
Phone Number: ________________________
Agent Information
Name: _______________________________
Address: _____________________________
City, State, Zip: ______________________
Phone Number: ________________________
Child Information
Name: _______________________________
Date of Birth: ________________________
Address: _____________________________
City, State, Zip: ______________________
Authority Granted
The Principal hereby grants the Agent full power and authority to act on behalf of the child in the following matters:
- Healthcare decisions
- Educational decisions
- Travel arrangements
- Financial matters related to the child's expenses
This authority shall remain in effect from ____________________ until ____________________ (insert start and end dates), unless revoked in writing by the Principal or by law.
Signature
By signing below, the Principal affirms that they are the legal guardian of the child and have the authority to grant this Power of Attorney.
Signature of Principal: _____________________________
Date: ______________________________________
Witnesses
Witness 1 Name: __________________________
Witness 1 Signature: ______________________
Date: ______________________________________
Witness 2 Name: __________________________
Witness 2 Signature: ______________________
Date: ______________________________________
Notary Acknowledgment
State of Hawaii
County of ________________________
On this ____ day of __________, 20___, before me, a notary public, personally appeared _______________________, known to me to be the person who executed this Power of Attorney.
Notary Public Signature: ______________________
My Commission Expires: ____________________