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Statutes – Uniform Power of Attorney Act (R.C.W. § 11-125-010 – § 11-125-903)
Definition – § 11-125-410
Signing Requirements – Completion of the form must include the endorsement from the involved parties as well as either a notary professional or two (2) satisfactory witnesses (§ 11-125-050).
Other Versions (3)
Washington Minor Child Power of Attorney Form – Version 1
Download: Adobe PDF, MS Word (.docx)
Washington Minor Child Power of Attorney Form – Version 2
Download: Adobe PDF, MS Word (.docx)
Kinship Caregiver’s Declaration of Responsibility for a Minor’s Health Care
Download: Adobe PDF
Additional Resources
- Legal Voice – Options for Grandparents and other Nonpaternal Caregivers
- Northwest Justice Project – Power of Attorney for Parents – Information and Questionnaire
- Washington Law Help – Power of Attorney for Parents
- Washington Law Help – Consent to Health Care: A Kinship Giver’s Guide
Related Forms
Limited Power of Attorney to Make Emergency Health Care Decisions for My Minor Child
Download: Adobe PDF
Revocation of Power of Attorney
Download: Adobe PDF
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