(Insurance Company Name) Cancellation Department
(Insurance Company Address)
(Company City, State, Zip Code)
Re: Policy Number:#____________ Cancellation.
Dear Cancellation Department,
I am sending you this written notice to request cancellation of my insurance
policy effective (date you plan to cancel). I would appreciate you sending me
written confirmation within 30 days that the cancellation has been put into
effect. Please refund the unused portion of my policy premium, and cease
charging my bank account for payments of monthly premium.
Thanks you for your prompt action on this matter.
(Your name and signature)"
(Your City, State, Zip)