Policy Cancellation Form

Posted : 12/21/2010

Insurance.com - May The Best Quote Win

Switching isn't hard.

You just need to notify your old insurance company, in writing, that you have a new policy and are cancelling your old one.

Just cut off the bottom portion, fill in the blanks, and mail it to your old insurance company.

To find out what to expect from the process, read about how to cancel your old auto insurance.

We look forward to meeting your insurance needs. Thanks for becoming an insurance.com customer.


Detach Here




I have obtained a policy with another company and am sending you this written notice to request cancellation of my insurance policy. My information is listed below.

Name of Prior Company:  
Prior Policy Number:  
Effective Date of New Policy:  
Full Name:  
Street Address:  
City, State, ZIP:  
Signature:  


Thank You.
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