Chicago Illinois Revocation of Statutory Durable Power of Attorney for Health Care

State:
Illinois
City:
Chicago
Control #:
IL-P016B
Format:
Word; 
Rich Text
Instant download

Description

This is a revocation of Form IL-P016.

How to fill out Illinois Revocation Of Statutory Durable Power Of Attorney For Health Care?

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FAQ

If you want to revoke a previously executed power of attorney and do not want to name a new representative, you must write ?REVOKE? across the top of the first page with a current signature and date below this annotation.

Principals can create a written statement revoking the power of attorney, sign it in front of a notary, and provide a copy to anyone who was provided the original POA.

An Illinois Power of Attorney for Health Care has been created by the Illinois legislature. This form must be signed by the principal and one witness. It does not need to be notarized.

THE POWER OF ATTORNEY FOR HEALTH CARE In Illinois, you can choose someone to be your ?health care agent.? Your agent is the person you trust to make health care decisions for you if you are unable or do not want to make them yourself. These decisions should be based on your personal values and wishes.

After your Power of Attorney for Health Care document is signed by you, witnessed and notarized (OPTIONAL), you should send the original form to your agent and provide copies to your lawyer, your doctor and to family members or close friends on whom you can rely to act according to your interests and values.

The revocation should include your name, a statement that you are of sound mind, and your wish to revoke the power of attorney. You should also specify the date the original power of attorney was executed and the person selected as your agent.

If you have made and signed a Power of Attorney such as a Lasting Power of Attorney or an Ordinary Power of Attorney, you are perfectly within your rights to cancel it. It is also possible to make a Deed of Partial Revocation, which would allow you to remove an attorney without revoking the whole document.

The witness must be at least 18 years old and be mentally competent. Sign the form in front of the witness or witnesses, and ask the witness or witnesses to sign it too.

(NOTE: This power of attorney will not be effective unless it is signed by at least one witness and your signature is notarized, using the form below. The notary may not also sign as a witness.)

You can revoke (cancel) your power of attorney document at any time with a written notice to your agent. A sample ?Notice of Revocation? is included in this packet.

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Chicago Illinois Revocation of Statutory Durable Power of Attorney for Health Care