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Maine Revocation of Power of Attorney - Care and Custody of Children

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Maine Revocation of Power of Attorney - Care and Custody of Children Powered By Docstoc
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                             This Revocation of Power of Attorney is used to revoke a power of attorney for care and
                             custody of children previously executed by a individual. A power of attorney appoints an
                             agent to act on behalf of an principal for some specified purpose, such as to take care of
                             the principal's children. This document effectively revokes the authority granted to the
                             agent and complies with state laws that require the revocation to be in a signed written
                             instrument and delivered to the agent. This should be utilized by a principal located in
                             Maine to revoke a power of attorney for the care and custody of children.
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                                   POWER OF ATTORNEY:

                     CARE AND CUSTODY OF CHILD OR CHILDREN

KNOW ALL PERSONS BY THESE PRESENTS:

That pursuant to [STATUTE] I, _______________________________ [Instruction: Insert the
name of the principal] (hereinafter referred to as “Principal”), residing at
______________________________________ [Instruction: Insert the address of principal]
execute this Durable Power of Attorney and do hereby make, constitute, and appoint:
___________________________________ [Instruction: Insert the name of agent] (hereinafter
referred to as "Attorney-in-Fact"), residing at __________________________ [Instruction:
Insert the address of agent], as my Attorney-in-Fact TO ACT IN MY NAME, PLACE, AND
STEAD in any lawful way with respect to the care and custody of my child(ren): [Instruction:
Insert the name of child(ren)]

   a. _______________________________

   b. _______________________________

   c. _______________________________

   d. _______________________________

1. Effectiveness of Power of Attorney: This instrument is to be construed and interpreted as a
   General Durable Power of Attorney for the following purposes:

       a. To participate in decisions regarding my children, their education including attending
          conferences with their teachers or any other educational authorities, granting
          permission for their participation in school trips and other activities, and making any
          other decisions and executing any documents pertinent to their education.

       b. To endorse and execute any document necessary for the performance of the powers
          granted by this document, including, but not limited to, consent forms, releases,
          waivers, insurance documents, claims, agreements, contracts, and legal documents.

       c. To grant permission and consent to my children participating in any activity
          sponsored by any group, association, or organization which activity my Attorney-in-
          Fact may deem appropriate.

       d. To make health care decisions on behalf of my children, including making decisions
          regarding their medical or dental care, whether routine or emergency in nature,
          including admissions to hospitals or other institutions; to consent to, to refuse to
          consent to, or to withdraw consent to the provision of any care, tests, treatment,
          surgery, service, or procedure to maintain, diagnose, or treat a physical or mental
          condition, as well as the right to sign such medical forms as may be necessary to
          carry out such decisions; to talk with health care personnel who may be treating my
          child(ren) and to examine their medical records and to consent to the disclosure of


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           such records in circumstances Attorney-in-Fact may deem appropriate; to file claims
           for medical insurance and to obtain information from any insurance company with
           respect to any policy of health or medical insurance under which my child(ren) are
           insured; provided however, that my Attorney-in-Fact shall not be required to execute
           any documents which would involve incurring any personal liability for any such
           treatment and care, and I affirm that I will be responsible for payment for any such
           care or treatment consented to by my Attorney-in-Fact that is not covered by
           insurance.

       e. To request, ask, demand, sue, and take any or all legal steps necessary on behalf of
          my child(ren)

2. Effective Date: This Power of Attorney shall become effective when I sign and execute it
   below. Unless sooner revoked or terminated by me, this P
				
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Description: This Revocation of Power of Attorney is used to revoke a power of attorney for care and custody of children previously executed by a individual. A power of attorney appoints an agent to act on behalf of an principal for some specified purpose, such as to take care of the principal's children. This document effectively revokes the authority granted to the agent and complies with state laws that require the revocation to be in a signed written instrument and delivered to the agent. This should be utilized by a principal located in Maine to revoke a power of attorney for the care and custody of children.
This document is also part of a package Essential Maine Legal Documents 143 Documents Included