Missouri Revocation of Power of Attorney

Set out your wishes for life-sustaining treatment and appoint someone as your medical decision maker with this Advance Health Care Directive Forms Package for Missouri residents.

• This package of forms contains the following:
  
  • information and instructions to help you prepare and complete your advance directive,
  • Advance Health Care Directive which is made up of:
    • Part I - Durable Power of Attorney for Health Care, where you can designate someone you trust to act as your agent to make health care decisions for you when you are unable to do so,
    • Part II - Health Care Directive, which allows you to state your wishes about health care treatments and procedures, including life-prolonging treatments,
    • Part III - General Provisions that are included in both documents,
    • Part IV - Execution.
• Making an Advance Directive can help to ensure that your family and your doctor know what your wishes if you should become unable to communicate or make your own decisions, and that there is someone with the authority to make decisions for you.
• The forms are provided in MS Word format and can be used by more than one person by filling in the appropriate information.
• Intended to be used only in the State of Missouri.

Missouri residents, make a financial durable power of attorney with this easy-to-use template form.

Why You Should Make a Power of Attorney

Making a power of attorney ensures that even if you become unable to make decisions about your finances and property, someone you trust will be able to do it for you. 

This Power of Attorney remains in effect even if you become disabled or incompetent. That is why it's called a durable power of attorney.

What powers will my agent have?

You can choose to give your attorney-in-fact (agent) the power to deal with a number of financial and business matters, including:

• your real estate property,
• banking and financial transactions,
• stocks and bonds,
• personal property,
• insurance,
• pension and employment benefits,
• tax and legal matters,
• your business affairs and operations.

This Power of Attorney does NOT give your agent the authority to make decisions about your health care or end-of-life treatments.

Format of Power of Attorney Template

This form is available in MS Word format and is easy to fill in and print. No need to buy additional copies - you and your spouse can each prepare a Power of Attorney with this form.

Legal Requirements

The template includes full instructions on how to prepare the Power of Attorney so it complies with all the legal requirements of the State of Missouri.

It also includes a Notice to the Attorney-in-Fact and an Acceptance form that must be signed by the attorney-in-fact.

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