SB82-SSA1,14,22
.... The power to consent to educational and vocational services
SB82-SSA1,14,33
.... The power to consent to the employment of the child(ren)
SB82-SSA1,14,54
.... The power to consent to the disclosure of confidential information, other
5than health information, about the child(ren)
SB82-SSA1,14,66
.... The power to provide for the care and custody of the child(ren)
SB82-SSA1,14,87
.... The power to consent to the child(ren) obtaining a motor vehicle operator's
8license
SB82-SSA1,14,99
.... The power to travel with the child(ren) outside the state of Wisconsin
SB82-SSA1,14,1010
.... The power to obtain substitute care, such as child care, for the child(ren)
SB82-SSA1,14,1411
.... Other specifically delegated powers or limits on delegated powers (
Fill in the
12following space or attach a separate sheet describing any other specific powers that
13you wish to delegate or any limits that you wish to place on the powers you are
14delegating.) ....
SB82-SSA1,14,1715
This delegation of parental powers does not deprive a custodial or noncustodial
16parent of any of his or her powers regarding the care and custody of the child,
17whether granted by court order or force of law.
SB82-SSA1,14,2418
THIS DOCUMENT MAY NOT BE USED TO DELEGATE THE POWER TO
19CONSENT TO THE MARRIAGE OR ADOPTION OF THE CHILD(REN), THE
20PERFORMANCE OR INDUCEMENT OF AN ABORTION ON OR FOR THE
21CHILD(REN), THE TERMINATION OF PARENTAL RIGHTS TO THE
22CHILD(REN), THE ENLISTMENT OF THE CHILD(REN) IN THE U.S. ARMED
23FORCES OR TO PLACE THE CHILD(REN) IN A FOSTER HOME, GROUP HOME,
24OR INPATIENT TREATMENT FACILITY.
SB82-SSA1,14,2525
EFFECTIVE DATE AND TERM OF THIS DELEGATION
SB82-SSA1,15,8
1This Power of Attorney takes effect on .... and will remain in effect until .... If
2no termination date is given or if the termination date given is more than one year
3after the effective date of this Power of Attorney, this Power of Attorney will remain
4in effect for a period of one year after the effective date, but no longer. This Power
5of Attorney may be revoked in writing at any time by a parent who has legal custody
6of the child(ren) and such a revocation invalidates the delegation of parental powers
7made by this Power of Attorney, except with respect to acts already taken in reliance
8on this Power of Attorney.
SB82-SSA1,15,99
SIGNATURE(S) OF PARENT(S)
SB82-SSA1,15,1010
Signature of parent .... Date ....
SB82-SSA1,15,1111
Parent's name printed ....
SB82-SSA1,15,1212
Parent's address ....
SB82-SSA1,15,1313
Parent's telephone number ....
SB82-SSA1,15,1414
Parent's e-mail address ....
SB82-SSA1,15,1515
Signature of parent .... Date ....
SB82-SSA1,15,1616
Parent's name printed ....
SB82-SSA1,15,1717
Parent's address ....
SB82-SSA1,15,1818
Parent's telephone number ....
SB82-SSA1,15,1919
Parent's e-mail address ....
SB82-SSA1,15,2020
WITNESSING OF SIGNATURE(S) (OPTIONAL)
SB82-SSA1,15,2121
State of ....
SB82-SSA1,15,2222
County of ....
SB82-SSA1,15,2323
This document was signed before me on .... (date) by .... (name(s) of parent(s)).
SB82-SSA1,15,2424
Signature of notary ....
SB82-SSA1,15,2525
My commission expires: ....
SB82-SSA1,16,1
1STATEMENT OF AGENT
SB82-SSA1,16,82
I, .... (name and address of agent), understand that .... (name(s) of parent(s)) has
3(have) delegated to me the powers specified in this Power of Attorney regarding the
4care and custody of .... (name(s) of child(ren)). I further understand that this Power
5of Attorney may be revoked in writing at any time by a parent who has legal custody
6of .... (name(s) of child(ren)). I hereby declare that I have read this Power of Attorney,
7understand the powers delegated to me by this Power of Attorney, am fit, willing, and
8able to undertake those powers, and accept those powers.
SB82-SSA1,16,99
Agent's signature .... Date ....
SB82-SSA1,16,1211
(
Here the parent(s) may indicate where they may be located during the term of
12the Power of Attorney if different from the address(es) set forth above.)
SB82-SSA1,16,1313
.... I can be located at:
SB82-SSA1,16,1414
Address(es) ....
SB82-SSA1,16,1515
Telephone number(s) ....
SB82-SSA1,16,1616
E-mail address(es) ....
SB82-SSA1,16,1717
.... Or, by contacting:
SB82-SSA1,16,1919
Address ....
SB82-SSA1,16,2020
Telephone number ....
SB82-SSA1,16,2121
E-mail address ....
SB82-SSA1,16,2222
.... Or, I cannot be located
SB82-SSA1,16,23
23(3) (a) In this subsection:
SB82-SSA1,16,2524
1. "Agent" means a person to whom delegation of the care and custody of a child
25under this section is facilitated by an organization.
SB82-SSA1,17,2
12. "Organization" means an organization that facilitates delegations of the care
2and custody of children under this section.
SB82-SSA1,17,53
(b) The department may promulgate rules to implement this section. If the
4department promulgates those rules, those rules shall include rules establishing all
5of the following:
SB82-SSA1,17,96
1. Training requirements for the staff of an organization, including training in
7identifying children who have been abused or neglected and the laws and procedures
8under s. 48.981 governing the reporting of suspected or threatened child abuse or
9neglect.
SB82-SSA1,17,1810
2. Screening and assessment requirements for a proposed agent, including a
11screening of the personal characteristics, health, and finances of the proposed agent
12and of the physical environment and safety of the proposed agent's home and, based
13on that screening, an assessment of the proposed agent's fitness to provide for the
14care and custody of the child and ability to meet the child's needs. The rules
15promulgated under this subdivision shall prohibit an organization from facilitating
16a delegation of the care and custody of a child to a proposed agent unless the proposed
17agent is fit to provide for the care and custody of the child and able to meet the child's
18needs.
SB82-SSA1,17,2019
3. Training requirements for an agent, including the training described in
20subd. 1. and training in the expectations of an agent specified in subd. 4.
SB82-SSA1,18,221
4. The expectations of an agent with respect to the care and custody of the child,
22including expectations relating to the care, nurturing, protection, training,
23guidance, and discipline of the child; the provision of food, shelter, education, and
24health care for the child; cooperation with the child's parents in coparenting the
25child; and cooperation with the organization in facilitating visitation and other
1communications with the child's parents and in otherwise complying with the
2expectations of the organization.
SB82-SSA1,18,53
5. A requirement that an organization regularly monitor an agent and the child
4whose care and custody is delegated to the agent and maintain communications with
5the child's parents.
SB82-SSA1, s. 21
6Section
21. 48.981 (2) (a) (intro.) of the statutes is amended to read:
SB82-SSA1,18,127
48.981
(2) (a) (intro.) Any of the following persons who has reasonable cause
8to suspect that a child seen by the person in the course of professional duties has been
9abused or neglected or who has reason to believe that a child seen by the person in
10the course of professional duties has been threatened with abuse or neglect and that
11abuse or neglect of the child will occur shall, except as provided under
sub. subs. (2m)
12and (2r), report as provided in sub. (3):
SB82-SSA1, s. 22
13Section
22. 48.981 (2) (b) of the statutes is amended to read:
SB82-SSA1,18,1914
48.981
(2) (b) A court-appointed special advocate who has reasonable cause to
15suspect that a child seen in the course of activities under s. 48.236 (3) has been
16abused or neglected or who has reason to believe that a child seen in the course of
17those activities has been threatened with abuse and neglect and that abuse or neglect
18of the child will occur shall, except as provided in
sub. subs. (2m)
and (2r), report as
19provided in sub. (3).
SB82-SSA1, s. 23
20Section
23. 48.981 (2) (bm) 1. (intro.) of the statutes is amended to read:
SB82-SSA1,18,2421
48.981
(2) (bm) 1. (intro.) Except as provided in subd. 3. and
sub. subs. (2m)
and
22(2r), a member of the clergy shall report as provided in sub. (3) if the member of the
23clergy has reasonable cause to suspect that a child seen by the member of the clergy
24in the course of his or her professional duties:
SB82-SSA1, s. 24
25Section
24. 48.981 (2) (bm) 2. (intro.) of the statutes is amended to read:
SB82-SSA1,19,4
148.981
(2) (bm) 2. (intro.) Except as provided in subd. 3. and
sub. subs. (2m)
and
2(2r), a member of the clergy shall report as provided in sub. (3) if the member of the
3clergy has reasonable cause, based on observations made or information that he or
4she receives, to suspect that a member of the clergy has done any of the following:
SB82-SSA1, s. 25
5Section
25. 48.981 (2m) (title) of the statutes is amended to read:
SB82-SSA1,19,66
48.981
(2m) (title)
Exception to reporting requirement; health care services.
SB82-SSA1,19,148
48.981
(2r) Exception to reporting requirement; person delegated parental
9powers. A person delegated care and custody of a child under s. 48.979 is not required
10to report as provided in sub. (3) any suspected or threatened abuse or neglect of the
11child as required under sub. (2) (a), (b), or (bm) or (2m) (d) or (e). Such a person who
12has reason to suspect that the child has been abused or neglected or who has reason
13to believe that the child has been threatened with abuse or neglect and that abuse
14or neglect of the child will occur may report as provided in sub. (3).