Oregon Revocation Power of Attorney Form

The Oregon revocation power of attorney form is a document that would be utilized by anyone who has implemented a document granting powers to an Agent. When the Principal is prepared to revoke the powers document for any reason, they must remain in compliance with their powers document, complete this written document, deliver it or have it served to the Agent, to end their rights to powers over the Principal’s property, finances, health or any powers that have been granted.

This document must be notarized to be effective. As well, once the document is complete, make extra copies for record keeping and notification to anyone who holds a copy of the powers document, so that they are aware that they are no longer to honor the previous document.

How to Write

Step 1 –  Download the Document – Select and check a box from the following:

  • Health Care Powers
  • Financial Powers
  • Other (enter a title of the powers document to revoke)

Step 2 – Parties – Enter the following:

  • The name of the Principal
  • The title of the document to be revoked
  • The date in which the powers document had commenced
  • Name of the delegated Agent
  • Name of the Alternate Agent

Step 3 – Date of Revocation –

  • Enter the date of revocation in dd/mm/yyyy format

Step 4 – Signature and Notarization –

  • Print the name of the Principal
  • Principal must provide their signature

Step 5 – Acknowledgement –

When the document has been completed and the Notary Public witnesses the signature of the Principal, the Notary will complete the remainder of the document and affix the official seal