Arkansas Legal Services Program
Arkansas Legal
Services Programs
Center for Arkansas Legal Services
303 W. Capitol, Suite 200
Little Rock, AR 72201
(501) 376-3423
fax (501) 376-3664

Legal Aid of Arkansas
714 South Main Street
Jonesboro, AR 72401
(870) 972-9224
fax (870) 910-5562

Arkansas Legal Services Programs, 303 W. Capitol, Suite 200, Little Rock, AR 72201; (501) 376-3423 fax (501) 376-3665
Arkansas Legal Services Programs

Revocation of Power of Attorney

The form below is a Revocation of Power of Attorney and it gives written notice to the attorney-in-fact (agent) that she or he no longer has the authority to act upon your behalf.

A Power of Attorney is a legal way to have one person act on behalf of another. The Power of Attorney document gives someone authority to act on the behalf of another in matters that are listed in the document. The power can be specific to a certain task or can cover many duties including financial and medical.

If you filed the original Power of Attorney with the court then you should also file a copy of the Power of Attorney Revocation with the court. It is also a good idea to give notice to any schools, doctors, daycare or other places where the attorney-in-fact interacted on behalf of your child.





These forms are not for commercial use and charging for their use in any way is prohibited.

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