Free PDF template
Washington Minor Child Power Of Attorney
WashingtonWashington Minor Child Power Of Attorney — a 4-page Washington PDF form with 49 fill-in fields for the agent and provider and a notary block.
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Information you will need
- Child Name and DOB
- Agent Address
- Agent Adress
- Other Authority
- Authorities Not Granted
- Interstate Restrictions
- Passport Renewal
- International Traveling
- International Destination
- International Travel Restrictions
- Travel Restrictions
- End Date
- Parent Signing Date
- Notary Only: County
- Notary Only: Commission Expiration
- Notary Only: State
- Notary Only: Notary Printed Name
- Witness (1) Name
- Witness (2) Name
- Notary Only: Parent Name
- Agent Signing Date
- Child Residency
- HIPAA Release
- Health Care
…and 25 more fields in the PDF.
Completed by the agent and the provider.
The form includes a notary acknowledgment, a witness section.
The document text refers to the laws of Washington.
PDF facts
- Format
- File size
- 1.1 MB
- Pages
- 4
- Version
- 1
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