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
State

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.

Banking Details

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