REVOCATION OF POWER OF ATTORNEY FOR ALBERTA STUDENT AID Last Revised July 2020 Page 1 of 2
REVOCATION OF POWER OF ATTORNEY
for Alberta Student Aid
Instruction Sheet for Students
What is Revocation of Power of Attorney?
If you have assigned Power of Attorney authorizing someone else to have access to or to act on your behalf in regard to your personal
information with Alberta Student Aid and/or on matters concerning your student aid including all Alberta student loans cashed through
the Alberta Student Aid Service Centre and grants made for educational purposes, the Power of Attorney remains in effect for ve
years from the date you sign it, or until it is terminated in accordance with clause 4 of the Power of Attorney. If you decide to revoke
(cancel) your Power of Attorney, you must give written notice to your appointed attorney and Advanced Education. If you do not advise
your attorney that you have revoked the Power of Attorney, you may be held responsible for the acts of your attorney.
Once you have revoked the Power of Attorney and informed your attorney, the attorney can no longer rely on the Power of Attorney.
If your attorney continues to act on your behalf, the attorney may be held personally responsible for the attorney’s acts.
Key deﬁnitions to help you ﬁll out the form correctly
Who is the “donor”? The “donor” is you, the student. You must revoke the Power of Attorney in writing and you must be mentally
capable of understanding the nature and effect of the revocation on the date it is signed. If you are physically unable to sign the
revocation, another person may sign on your behalf at your direction, and in the presence of both yourself and the witnesses. Your
attorney or the spouse or adult interdependent partner of the attorney cannot sign on your behalf.
Who is the “attorney”? The “attorney” is the person you designated and authorized to act on your behalf.
Who is the “witness”? The “witness” can be anyone except for the following:
• A person under the age of 18 years of age;
• The person designated as your attorney;
• The spouse or adult interdependent partner of the person designated as your attorney;
• The person, or the spouse or adult interdependent partner of the person, signing the Revocation of Power of Attorney on your behalf
if you are physically unable to sign the Revocation of Power of Attorney; or
• You, your spouse or adult interdependent partner.
Easy steps to complete the Revocation of Power of Attorney form
1. To complete a ﬁllable form: 1. Save to your desktop. 2. Complete form. 3. Save nal. Check, then submit. Never complete in a browser.
2. Complete the donor’s name and address. (Your legal name and address.)
3. Complete the attorney’s name and address. (This is the person you designated and authorized to act on your behalf.)
4. Sign the Revocation of Power of Attorney form in the presence of two witnesses (see above restrictions on who can be a witness).
5. Have both witnesses sign and complete the Revocation of Power of Attorney form in your presence and each other’s presence.
6. Make photocopies of the form and distribute as follows:
a) The original copy to your attorney.
b) Keep one copy for your records.
7. Submit the form to Alberta Student Aid:
• Send documents electronically: 1. Visit studentaid.alberta.ca 2. Sign in to your account 3. Submit securely using Upload
• Or mail to: Alberta Student Aid, PO Box 28000 Stn Main, Edmonton AB T5J 4R4
If you have any questions about the use or effect of this document, you should seek the advice of a lawyer who can advise you about
the validity and the consequences of using this document.
This Revocation of Power of Attorney has been prepared for your convenience and the Government of Alberta makes no representation
whatsoever about the form, usability, or validity of this Revocation of Power of Attorney. For general questions with respect to submission
of this document, contact the Alberta Student Aid Service Centre toll free at 1-855-606-2096 from anywhere in North America.