Utah declaration 2026

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The document is a formal revocation of a previously executed Declaration for Mental Health Treatment, as permitted by Utah Code 62A-12-503. It allows the Declarant to revoke their declaration at any time, provided they are capable. The document includes spaces for the Declarant's details and signature.

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Click ‘Get Form’ to open the Utah Declaration for Mental Health Treatment in the editor.
Begin by entering your name in the space provided for the Declarant. This identifies you as the individual revoking the declaration.
Fill in the date on which you originally executed the Declaration For Mental Health Treatment. This is crucial for legal clarity.
Indicate the date of your revocation by filling in the designated area. This shows when you are officially revoking your previous declaration.
Sign your name in the Signature of Declarant section to validate your revocation.
Print your name below your signature to ensure it is clearly legible.
Lastly, provide your address in the specified field to complete your identification.

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Utah declaration 2026

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