Child Care Power Of Attorney Form - Hamilton County Juvenile Court (Page 6 of 10) in pdf

(d) The parent who is not the residential parent and legal custodian of the child who is required to be given

notice of its creation. The grandparent shall make the notifications not later than one week after the date

the power of attorney terminates.

9. If this power of attorney is terminated by written revocation of the person who created it, or the revocation is

regarding a second or subsequent power of attorney, a copy of the revocation must be filed with the court with

which that power of attorney was filed.

Additional information:

To the grandparent designated as attorney in fact:

1. If the child stops living with you, you are required to notify, in writing, any school, health care provider, or

health care insurance provider to which you have given this power of attorney. You are also required to notify,

in writing, any other person or entity that has an ongoing relationship with you or the child such that the person

or entity would reasonably rely on the power of attorney unless notified. The notification must be made not later

than one week after the child stops living with you.

2. You must include with the power of attorney the following information:

(a) The child's present address, the addresses of the places where the child has lived within the last five

years, and the name and present address of each person with whom the child has lived during that period;

(b) Whether you have participated as a party, a witness, or in any other capacity in any other litigation, in

this state or any other state, that concerned the allocation, between the parents of the same child, of

parental rights and responsibilities for the care of the child and the designation of the residential parent

and legal custodian of the child or that otherwise concerned the custody of the same child;

this or any other state;

(d) Whether you know of any person who has physical custody of the child or claims to be a parent of the

child who is designated the residential parent and legal custodian of the child or to have parenting time

rights with respect to the child or to be a person other than a parent of the child who has custody or

visitation rights with respect to the child;

(e) Whether you previously have been convicted of or pleaded guilty to any criminal offense involving any

act that resulted in a child being an abused child or a neglected child or previously have been determined,

in a case in which a child has been adjudicated an abused child or a neglected child, to be the perpetrator

of the abusive or neglectful act that was the basis of the adjudication.

To school officials:

1. Except as provided in section 3313.649 of the Revised Code, this power of attorney, properly completed and

notarized, authorizes the child in question to attend school in the district in which the grandparent designated as

attorney in fact resides and that grandparent is authorized to provide consent in all school-related matters and to

obtain from the school district educational and behavioral information about the child. This power of attorney

does not preclude the parent, guardian, or custodian of the child from having access to all school records

pertinent to the child.

2. The school district may require additional reasonable evidence that the grandparent lives in the school

district.

3. A school district or school official that reasonably and in good faith relies on this power of attorney has no

obligation to make any further inquiry or investigation.

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Form 1349

Child Care Power Of Attorney Form - Hamilton County Juvenile Court Page 6