Use This Form If:

• Individuals who have previously granted a Power of Attorney for the Care of Children may find it necessary to revoke it if their circumstances change, such as a change in living arrangements or the re-establishment of parental rights. This form serves to formally document that decision and notify relevant parties.
• Situations requiring the revocation of a Power of Attorney can arise when a parent or guardian feels that the designated agent is no longer suitable to care for their children. By using this form, they can ensure that the revocation is legally recognized and that the children’s care is reassigned appropriately.
• For those who have temporarily granted Power of Attorney for the Care of Children while traveling or during a family emergency, it is essential to revoke that authority upon returning home or resolving the emergency. This form provides a clear and official way to communicate that the authority has ended.
• Parents who have resolved conflicts or issues that led to the initial granting of Power of Attorney may wish to revoke it to regain full control over their children's care. This form allows them to formally notify the agent and any other involved parties of their decision.
• In cases where the agent designated in the Power of Attorney is no longer able or willing to fulfill their responsibilities, the Grantor must revoke the authority to ensure the children's welfare. Utilizing this form helps to clarify the change in authority and protect the children's best interests.