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 due to changes in their circumstances, such as a change in living arrangements or the return of the child to their care. This form provides a formal mechanism to communicate that revocation.
• Situations requiring the revocation of a Power of Attorney may arise when a Grantor feels that the appointed agent is no longer suitable for the role, perhaps due to a breakdown in trust or a significant disagreement regarding the child's welfare. Using this form ensures that the revocation is documented and legally recognized.
• For those who have temporarily placed their children in the care of another individual through a Power of Attorney, a change in the child's situation, such as a return to the Grantor's custody, may necessitate the use of this form to officially revoke the prior authorization.
• Parents or legal guardians may need to revoke a Power of Attorney when they wish to appoint a different individual to take care of their children. This form allows them to clearly communicate the change in authority and ensure that the new arrangement is legally binding.
• In cases where the circumstances surrounding the child's care have changed significantly, such as the death of the original agent or a significant life event impacting the Grantor, this form serves as an essential tool to formally terminate the previous Power of Attorney.