Revocation of Statutory Durable Power of Attorney for Health Care - North Dakota 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 power of attorney.
3. Next, indicate the date on which you originally executed your Health Care Directive. This is crucial for establishing a timeline.
4. In the section naming your health care attorney-in-fact/agent, provide their full name. This clarifies who is being revoked from their duties.
5. Complete the date line at the bottom of the form where you are signing this revocation. Ensure that it reflects today’s date.
6. Sign and print your name in the designated areas to validate this document. Additionally, include your address for identification purposes.

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