Revocation of Power of Attorney Form for Kansas – PDF

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Use this form to cancel an existing power of attorney document in the State. The form must follow the State guidelines which state that all revocation forms must;

“A voluntary revocation by a principal of a durable power of attorney for health care decisions does not revoke or terminate the agency as to the agent or other person, who, without actual knowledge of the revocation, acts in good faith under the power”

  • Must be witnessed by at least two (2) individuals or in front of a notary public