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 This form serves as a formal notification to the designated agent that their powers have been rescinded.
• Situations requiring the revocation of a Power of Attorney can arise when a parent decides to change guardianship arrangements or when the designated agent is no longer suitable due to personal issues. In such cases, utilizing this form ensures that all parties are informed of the change in authority.
• For those who have experienced a significant life event, such as a divorce or relocation, it may be essential to revoke an existing Power of Attorney for the Care of Children. This form provides a clear and legal way to communicate that the previously granted authority is no longer valid.
• Parents who have temporarily placed their children under the care of a relative or friend may wish to revoke that Power of Attorney once they are able to resume their parental responsibilities. Completing this form helps to clarify the return of custody and authority over the children.
• In instances where the agent designated in the Power of Attorney has acted inappropriately or against the best interests of the child, the Grantor may need to revoke the authority immediately. This form serves as a critical tool to ensure that the agent is formally notified of the revocation.