Use This Form If:

• Individuals who have previously granted a Power of Attorney for the Care of Children may find it necessary to revoke that authority if their circumstances change, such as a change in living arrangements or the re-establishment of direct parental involvement. This form serves as a formal notification to all relevant parties that the previous authority is no longer valid.
• Situations requiring the revocation of a Power of Attorney often arise when the designated agent is unable to fulfill their responsibilities or if the Grantor believes that the agent is acting against the best interests of the child. In such cases, the Grantor can use this form to ensure that the revocation is legally recognized.
• For those who wish to regain full control over their parental rights after temporarily delegating authority, this Notice of Revocation is essential. It provides a clear and documented way to communicate the change in authority to caregivers, schools, and other institutions involved in the child's care.
• In instances where a Grantor has passed away or is no longer able to make decisions, this form can clarify the status of the Power of Attorney. It is important to formally revoke any existing authority to prevent confusion regarding who has the legal right to make decisions for the child.
• Parents or guardians who have experienced a significant life change, such as divorce or separation, may need to revoke a Power of Attorney that was previously granted to a former partner. This form allows them to formally end that arrangement and establish new caregiving agreements.