Free Louisiana Minor Child Power of Attorney Form | PDF | Word

Louisiana Minor Child Power of Attorney Form

The Louisiana Minor Child Power of Attorney, also known as a “Provisional Custody by Mandate,” is the statutory form used to grant certain parental rights to an agent (mandatory). It is designed for parents/guardians who will be away from their child for a short period and want to ensure that the temporary caretaker can legally sign off on anything the minor may require.

Last updated September 21st, 2024

The Louisiana Minor Child Power of Attorney, also known as a “Provisional Custody by Mandate,” is the statutory form used to grant certain parental rights to an agent (mandatory). It is designed for parents/guardians who will be away from their child for a short period and want to ensure that the temporary caretaker can legally sign off on anything the minor may require.

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Laws

Statutes – Chapter 3. Provisional Custody by Mandate of Persons Having Parental Authority

Statutory Form – § 954

Signing Requirements – Acknowledgment of Two (2) Witnesses & Notary Public

Revocation – § 952

Other Versions (4)

Department of Public Safety & Corrections
eForms
Louisiana State Bar Association
Luneau Law Office

Department of Public Safety & Corrections Version

Download: Adobe PDF

eForms Version

Download: Adobe PDF, MS Word (.docx)

Louisiana State Bar Association Version

Download: Adobe PDF

Luneau Law Office Version

Download: Adobe PDF

Additional Resources

Louisiana State Bar Association – Custody Affidavits and School Enrollment

Related Forms

Revocation of Power of Attorney

Download: Adobe PDF, MS Word (.docx)

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