Cancel Your Policy Form Cancel your policy Need to make changes? Here is a step by step guide to cancelling your policy with ease. Please use the form below to request cancellation of your policy or policies. To submit a policy cancellation request please use the form below. Be sure you are aware of the terms and conditions of cancelling before submitting the request. First Name * Your email address * Mobile no Policy Number (if known) Account Details for Refund Policy Cancellation Date Reason for cancellation Do you need to switch or replace the cover as well? Yes or No Important information Important: Please note we retain our fees and commissions upon cancellation of your policy. The return premium from the insurer will be sent to your monthly funder to reduce the balance of your monthly funding agreement. Your monthly funder may charge the full interest on the contract and an early termination fee. The return premium from the insurer will be sent through to the above details less any outstanding premium, fees and commissions charged on the policy. Some insurers charge a minimum premium which can further reduce the return premium. Monthly funding cancellation: Should the insurance policy be cancelled before the expiry date for any reason, the premium funder will charge you the full interest applicable to the contract as detailed in the Loan Application Form. Typically there will be no refund of our commission on the refund premium and no refund of any fee we may have charged you for arranging the cover. We also reserve the right to charge you a policy cancellation handling fee. In some cases insurers also apply minimum premiums to policies which may further reduce any refund you receive. The refund you receive for mid term cancellation will usually be significantly less than a pro rata calculation and may in some cases require an additional final payment even after cancellation. Before cancelling a policy and replacing it with another cover we recommend that you discuss your situation with us so we can advise the exact extent and impact of the early cancellation provisions. Authorisation Please sign before submitting to confirm that you wish to cancel the policy or policies listed above and that you have read and understood the important information and cancellation conditions. Signature *
