Missouri Revocation of Power of Attorney Form

The Missouri Revocation of Power of Attorney allows a Principal to formulate written documentation of their decision to end a Power of Attorney. By stating the Principal’s decision in unambiguous terms, this document offers all parties involved clarification about any notable details regarding the revocation. Namely, it should state, at minimum, two important details:

  1. When the revocation will take place (i.e. upon execution of the form), and
  2. The implications of the revocation for the Agent (i.e. that all of the powers bestowed to them will be revoked and that they may no longer act on the Principal’s behalf).

State Laws & Signing Requirements

State Laws – Durable Power of Attorney and Durable Power of Attorney for Health Care Act

Signing Requirements  – Although no signing requirements are dictated by Missouri law, the Principal should consider signing the Revocation of Power of Attorney before a Notary Public and two (2) witnesses.

In order to revoke a Durable Power of Attorney for Health Care, a Principal should ensure to take note of the provisions found in § 404.850 of the Durable Power of Attorney for Health Care Act. These provisions state that a Patient (the Principal) can lawfully revoke a Durable POA for Health Care “at any time and in any manner by which the Patient is able to communicate the intent to revoke.” Therefore, the form provided above represents a legally-compliant means of revoking this type of POA.

The provisions also state that, “Revocation shall be effective upon communication of such revocation by the patient to the attorney in fact or to the attending physician or health care provider.” In other words, the Patient must inform any relevant parties to the POA of their intent to revoke it in order for the revocation to be put into effect.