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Cancellation Form

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Contact Details

Policy Details

Name of the Policy holder
Please provide numbers for all the policies you wish to cancel - e.g. Building & Landlord Policy

Date of Cancellation*
Should you require the cancellation to be backdated by more than 28days you will need to provide supporting evidence:
-Confirmation of Sale
-Solicitor or Conveyancer's letter confirming the sale has been completed The documents can be attached at end of this form.

File Uploads

If your property was sold, or ceased being a full time rental more than 30 days ago and you require cancellation of your Policy to be backdated, please attach a copy of the Final Settlement Letter, or the Final Tenant Ledger showing the vacate date.
Attach supporting document here. Maximum of five documents only.
Drop files here or
Accepted file types: pdf, docx, png, jpg, Max. file size: 15 MB, Max. files: 5.

    Banking Details

    So we may provide a refund of any unused premium owing to you, please provide details of the preferred account

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