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Cancellation Form Professional Indemnity
Please complete to indicate if you want run-off cover or not
Cancelling a claims made policy has additional risks, you should take run-off cover to protect yourself into the future.
I understand and do not wish to have run off cover
I wish to discuss run-off cover
Policy number (If known)
Account details for refunds
Requested Date to be cancelled from
Reason for cancellation
We offer finance broking as one of our services. Do you require pricing on any loans or finance?
What type of finance do you require?
Truck and Commercial Vehicle Finance
Boat or Jet Ski Finance
Caravan, Camper, Motorhome or RV Finance
I Require Other Finance That Is Not Listed
Are you the sole person authorised to cancel this policy? Please note in some circumstances such as partnerships for example you may need permission from all parties involved.
I am the sole person authorised to cancel this policy
Please note that when a policy is cancelled midterm we retain any income we earn as brokers. If you are on monthly payments, you are still liable for the interest portion on the monthly payment contract. This may leave you with a shortfall that will need to be paid back to the funder. We do not know how much this amount is until we have finshed the cancellation process.
I understand and agree