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Please cancel my home insurance policy
Dear Sir/Madam,
This is my written authority to cancel my home insurance.
Policy Number/s:
With (insurance company)
With effect from (date)
Please reimburse me with any premiums that I may be owed and send me
written confirmation of any fees charged as a direct result of cancelling this
policy.
Yours faithfully
SiSignature
Joint Policy holder signature (if applicable)
Full name (policy holder):
Date:
Address Insured:
Forwarding Address (if different):