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Statutory Declaration of Revocation of Authorization
A sworn declaration revoking an authorization or consent you previously gave — used to formally end someone’s authority to act for you. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
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Also known as
- Revocation of Consent
- Notice of Revocation Declaration
- Withdrawal of Authorization Affidavit
+1 more names
- Sworn Revocation of Authority
STATUTORY DECLARATION OF REVOCATION OF AUTHORIZATION
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I previously gave the following authorization or consent: ______, to ______. Date it was originally given, on or about (if known):
I now revoke that authorization in full, effective ______.
From the effective date, ______ has no further authority to act under it, and it is of no further force or effect.
I have taken reasonable steps to give notice of this revocation. Purpose of this declaration (if specified):
I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.
Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.
______________________________ | ______________________________ |
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Statutory Declaration of Revocation of Authorization
A compact preview of this template
01Your Information
Your full legal name
The authorization or consent you are revoking
Your full address
STATUTORY DECLARATION OF REVOCATION OF AUTHORIZATION
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I previously gave the following authorization or consent: ______, to ______. Date it was originally given, on or about (if known):
I now revoke that authorization in full, effective ______.
From the effective date, ______ has no further authority to act under it, and it is of no further force or effect.
I have taken reasonable steps to give notice of this revocation. Purpose of this declaration (if specified):
I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.
Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.
______________________________ | ______________________________ |
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How it works
Prepare your document, one step at a time.
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Overview
About this document
- 02
When you might need one
It is used to end an authority you gave.
- You want to end someone’s authority to act for you.
- An organization asks for sworn proof that a prior consent is withdrawn.
- You must set a clear date on which the authorization stops.
- 03
Good to know
A revocation is most effective once the person or organization is told, so give them notice as well; this declaration records it. A power of attorney usually has its own revocation requirements — for one of those, follow those rules and consider legal advice.
Good to know
Before you fill it in.
Short notes from our notary on this template. Worth a minute before you start.
- 01
Reviewed for use in Ontario by a notary public and commissioner for taking affidavits.
- 02
Fill it in online for free and download a ready-to-sign PDF — no account required.
- 03
Sign in front of the notary, who administers your oath or affirmation and applies the seal.
- 04
Notarize online by video across Ontario, or in person in Ottawa.
Frequently asked
Questions about the Statutory Declaration of Revocation of Authorization
- What is a revocation of authorization for?
- To cancel an authorization or consent you gave earlier and provide dated proof that a person or organization no longer has your authority to act.
- Do I need to notify the other party?
- Yes. A revocation is most effective once they are told. This declaration records it, but you should still give notice.
- Does this revoke a power of attorney?
- A power of attorney usually has its own revocation requirements; follow those and consider legal advice for one of those documents.
- Can I notarize it online in Ontario?
- Yes. You can swear it online by video under Ontario’s remote commissioning rules, or in person in Ottawa with Minute Notary.
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