Revocation of Durable Power of Attorney for Health Care - Washington 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your name as the Declarant at the top of the form. This identifies you as the individual revoking the Durable Power of Attorney.
3. Next, indicate the date on which you originally executed the Durable Power of Attorney for Health Care. This provides context for your revocation.
4. In the designated space, write the name of your attorney-in-fact/agent whom you previously appointed. This clarifies who is affected by this revocation.
5. Complete the date section at the bottom of the form to finalize when this revocation takes effect.
6. Sign and print your name in the provided fields to authenticate your decision. Ensure that your signature matches any previous documents for consistency.
7. Lastly, include your address to provide additional identification and context for this document.

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