New Mexico Power of Attorney for a Child
This Power of Attorney document authorizes another person (the "Agent") to make decisions concerning the health, education, and welfare of a child or children under the laws of the State of New Mexico. By executing this document, the person(s) designated as the child(ren)'s parent(s) or legal guardian(s) (the "Principal") voluntarily delegate(s) their authority regarding the care and custody of the child(ren) to the Agent. This document does not grant the Agent authority to consent to marriage or adoption of the child(ren).
Please fill in the details accurately and review the completed document to ensure all information is correct and reflects your wishes.
1. Principal Information
Full Name of Principal: _______________________________
Principal's Address: __________________________________
City, State, ZIP: ______________________________________
Relationship to Child(ren): ____________________________
2. Agent Information
Full Name of Agent: _______________________________
Agent's Address: __________________________________
City, State, ZIP: ______________________________________
Relationship to Child(ren): ____________________________
3. Child(ren)'s Information
- Full Name: _______________________________ Date of Birth: ___________
- Full Name: _______________________________ Date of Birth: ___________
- Full Name: _______________________________ Date of Birth: ___________
4. Powers Granted
This Power of Attorney grants the Agent authority to make decisions and act concerning the child(ren)'s:
- Healthcare, including medical treatment decisions
- Education, including school and educational program enrollments
- Welfare, including housing and living arrangements
5. Term of Power of Attorney
Effective Date: ________________________________________
Termination Date: (if applicable) ________________________
This Power of Attorney shall remain in effect until the termination date noted above or, if no termination date is specified, until it is revoked in writing by the Principal.
6. Signature
The Principal and a witness or notary public, as required by the laws of the State of New Mexico, must sign this document.
Principal's Signature: __________________________ Date: ______________
Agent's Signature: _____________________________ Date: ______________
Witness/Notary Public Signature: _________________________ Date: _________
Note: This template is designed to provide a framework for a New Mexico Power of Attorney for a Child and should be completed with the guidance of a legal professional to ensure compliance with state law and the protection of all parties' rights.