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 when their circumstances change, such as when they regain the ability to care for their children themselves. This form serves as a formal notification to the appointed agent that their authority is no longer valid.
• Situations requiring the revocation of a Power of Attorney can arise when the relationship between the Grantor and the agent deteriorates, leading the Grantor to seek to terminate the agent's authority. This form provides a clear and legally recognized method to communicate this decision.
• For those who have appointed a temporary guardian for their children, revocation may be needed once the original guardian is able to resume their responsibilities. Using this form ensures that all parties are informed and that the legal standing of the previous Power of Attorney is officially nullified.
• Parents who have made arrangements for a Power of Attorney due to travel or other commitments might need to revoke it upon returning home. This form allows them to formally cancel the arrangement and restore their full parental rights.
• In cases where a Power of Attorney was granted under duress or misunderstanding, the Grantor may wish to revoke it to protect their children's welfare. This form is essential for documenting the revocation and ensuring that the previous authority is legally invalidated.