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COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.INSTRUCTIONSJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)A power of attorney over a child is a document signed and notarized by a parent giving a non-parent authority to make decisions for a minor child. It is not a court order. It is accepted by many, but not all, people or organizations as authority over the child. It is typically used by a parent who is unavailable for a period of time and wants to grant authority to another person over their child. It can be used to authorize the person to obtain medical treatment for a child or sign up a child for an activity or for other significant decisions. You can also limit the purpose to something very specific (for example, to take a child on vacation, to authorize specific medical treatment, etc.).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A power of attorney over a child is not accepted by the Flagstaff Unified School District for enrolling a child in school. The Flagstaff Unified School District requires a court order signed by a judge granting authority for a non-parent to enroll a child in school. This order will typically be a guardianship of a minor child. See the packet called Filing for Guardianship of a Minor in the Self-Help Center.THE PEOPLE OF THE STATE OF NEW YORK TOA power of attorney over a minor child is effective for a maximum of six months. You can limit this time period to as little as you want, but you cannot extend it beyond six months. If you need another power of attorney after six months, simply sign a new power of attorney. A better idea, however, may be to obtain a guardianship agreed to by all parties.GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomA parent who does not agree with this power of attorney has more authority over the child than the person with the power of attorney.In paragraph 3, the parent must indicate what powers he or she is giving over the minor child. The first box is for a general power of attorney granting all powers a parent would ordinarily have over the child. If the parent wants to limit the powers to certain areas, they should check the second box and describe the specific powers granted.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theThe parent must sign the completed power of attorney in front of a notary public and another witness. The witness must also sign. Notarize two copies of the power of attorney; one is for the person with the power and the other for the parent granting the power. Make several copies of the power of attorney since you will probably have to give a copy to each person or organization that you need to deal with on behalf of the child. Show them the original, and give them the copy. Keep the original in a safe place.Court in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)The parent granting the power of attorney can withdraw (revoke) that power at any time, even before the expiration date on the power of attorney. It is best that the withdrawal be in writing. A form called Revocation of Power of Attorney is attached. If you are a parent withdrawing the power, be sure to fill out the revocation form and deliver it to the person to whom you granted the power. The withdrawal is effective immediately upon delivery.Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Revised April 2002Coconino County Law Library and Self-Help Center FormsMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.POWER OF ATTORNEY OVER A MINOR CHILDJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)STATE OF ARIZONA)) ssCounty of Coconino)I,, of,(parents name)(parents address) do solemnly swear that:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.I am the natural parent of:THE PEOPLE OF THE STATE OF NEW YORK TOName of child(ren)Date of BirthGREETINGS:2.I authorizeWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County of(name of person authorized) of(address of person authorized) to assume power of attorney over my minor children, in accordance with the provisionso'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomof Arizona Revised Statutes, Section 14-5104, which states as follows:A parent or guardian of a minor or incapacitated person, by properly executed power of attorney, may delegate to another person, for a period not exceeding six months, any powers he may have regarding care, custody or property of the minor child or ward, except power to consent to marriage or adoption of the minor.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,3.I further appoint(person authorized) as my true and lawful attorney for the purpose of performing the following(Attorney must sign above and type name below)responsibilities over my child(ren) listed above (check one box):Attorney(s) forAll the parental responsibilities as I might perform myself.Only the following specific parental responsibilities:Office and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Page 1 of 2 Revised April 2002Mobile Tel. No.:Coconino County Law Library and Self-Help Center FormsAmerican LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . .
