Revocation of Power of Attorney for Minor Child
This is a template for revoking a Power of Attorney for the care of a minor child. It ensures all legal requirements are met as per the Tennessee Code Annotated. Properly executed, this form revokes any previously granted Power of Attorney for a minor child.
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How do I fill this out?
To complete this form, fill out all the required information regarding the minor child, legal guardians, and caregiver. Sign and date the form in front of a Notary Public. Distribute copies to all relevant parties.

How to fill out the Revocation of Power of Attorney for Minor Child?
1
Fill out minor child's name.
2
Fill out mother/legal guardian's name and address.
3
Fill out father/legal guardian's name and address.
4
Fill out caregiver's name and address.
5
Sign and date the form in front of a Notary Public.
Who needs the Revocation of Power of Attorney for Minor Child?
1
Parents who have previously assigned a Power of Attorney for the care of their minor child and now wish to revoke it.
2
Legal guardians looking to change previously established caregiving arrangements.
3
Caregivers requesting a formal revocation of their Powers of Attorney.
4
Schools that need updated documentation for a child's caregiving arrangements.
5
Healthcare providers who need current and accurate information regarding the child's care authority.
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What are the instructions for submitting this form?
To submit this form, first complete all required fields and sign in front of a Notary Public. Distribute copies of the completed form to all relevant parties, including any healthcare providers and schools that previously received the Power of Attorney. Specific submission details (emails, fax numbers, physical addresses) will depend on the needs of your local jurisdiction and intended recipients. Ensure all parties acknowledge receipt of the revocation for legal purposes. Always seek legal advice to guide you through the submission process if unsure.
What are the important dates for this form in 2024 and 2025?
Ensure revocation forms are submitted promptly upon decision to revoke power. Key timelines depend on individual circumstances and legal advice.

What is the purpose of this form?
The purpose of this form is to legally revoke any previously granted Power of Attorney for the care of a minor child. This revocation ensures that any authority, rights, and responsibilities previously given to a caregiver are nullified with immediate effect upon signing and notarization. It is essential to notify all relevant parties and institutions such as schools and healthcare providers of this change to update their records and fulfill legal requirements.

Tell me about this form and its components and fields line-by-line.

- 1. Minor Child's Name: Provide the full legal name of the minor child.
- 2. Mother/Legal Guardian's Name & Address: Enter the name and address of the mother or legal guardian.
- 3. Father/Legal Guardian's Name & Address: Enter the name and address of the father or legal guardian.
- 4. Caregiver's Name & Address: Enter the name and address of the caregiver previously granted Power of Attorney.
- 5. Date of Previous Execution: Provide the date when the original Power of Attorney was executed.
- 6. Signatures & Notary: The form must be signed by the parent(s) or legal guardian(s) in front of a Notary Public, who will also provide their signature and seal.
What happens if I fail to submit this form?
Failure to submit this form can result in the caregiver retaining their legal authority over the minor child, potentially leading to unintended decisions regarding the child's care.
- Legal Authority Retained: The previously assigned caregiver will continue to have legal authority over the minor child.
- Unintended Decisions: The caregiver may make decisions that do not align with the parents' or guardians' wishes.
- Outdated Records: Institutions such as schools and healthcare providers will have outdated caregiving records, leading to potential miscommunications.
How do I know when to use this form?

- 1. Caretaker Change: When changing the designated caregiver for a minor child.
- 2. End of Need: When the original reasons for granting Power of Attorney are no longer applicable.
- 3. Legal Disputes: In cases of legal disputes regarding the minor's care, to ensure clear revocation of previous arrangements.
- 4. Updating Legal Records: To maintain accurate and current legal records with schools and healthcare providers.
- 5. Parental Decision: When parents decide it is in the best interest of the child to revoke the existing Power of Attorney.
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