Texas Minor Child Power Of Attorney

Information you will need

• Child Name
• Child DOB
• Parent / Guardian Name
• Parent / Guardian Address
• Parent Other Information
• Other Parent / Guardian Name
• Other Parent/Guardian Address
• Other Parent/Guardian Telephone Number
• Other Parent/Guardian Other Information
• Relationship to Child
• Adult / Voluntary Caregiver Telephone Number
• Adult / Voluntary Caregiver Name
• Adult / Voluntary Caregiver Other Information
• Prior Authorization Agreement
• Expiration Date
• Expiration Circumstance
• Court involvment / Action
• Parent / Guardian Telephone Number
• Notary Only: Day
• Notary Only: Month
• Notary Only: Year
• Adult / Voluntary Caregiver Address

The form includes a notary acknowledgment.