Legal Forms > Power Of Attorney > Health Care-Minors
Revocation Power Of Attorney For Care And Custody Of Child (Generic) POA 301 - Legal Forms
| Revocation Power Of Attorney For Care And Custody Of Child (Generic) Form. This is a Legal Forms form and can be used in Health Care-Minors Power Of Attorney . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
REVOCATION POWER OF ATTORNEY: CARE AND CUSTODY OF CHILD OR CHILDREN I, Declarant, having executed a Power of Attorney for Care and Custody of Child/Children on the day of , 20 , naming as the attorney-in-fact/agent, do hereby revoke that Power of Attorney pursuant to its provision that it may be revoked by me in writing. This is my written revocation of the above referenced Power of Attorney and I am providing a copy of it to my attorney-in-fact/Agent. DATED this the day of , 20 . Signature of Declarant: Printed Name of Declarant: Address of Declarant: American LegalNet, Inc. © www.FormsWorkFlow.com
|
|||||||
