Revocation of Authorisation Letter

This sheet is for anyone who needs to cancel a previous authorisation in writing. It includes fields for your name and address, the date, the recipient organisation, a heading for revocation of authorisation, and the statement that you revoke the authorisation dated [date] given to [full name] for [task]. It also asks the organisation not to accept instructions from that person on your behalf.

Free printable · PDF

1 page
US Letter — choose “Fit to page” for A4
PDF, 50 KB

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Free for personal, family and classroom use.

Fill in the missing details, sign and date the letter, then send it to the organisation named at the top. Keep a copy for your records with the original authorisation date and the name of the person being revoked.

Good for

Cancel a signed permission
Stop someone acting on your behalf
Notify an organisation in writing

Tip: Print on plain paper and keep a signed copy before sending.

8 files · DOCX, PDF

Get every sheet: Authorisation Letter Templates

This sheet plus 7 more in one download, with the editable Word files. Seven editable authorisation letters — general, document collection, parcel collection, child pick-up, bank or utility, vehicle use and revocation — with a guidance sheet.

$5.00 USD, one-time 8 files · about $0.63 each