Insurance Cancellation

Cancellation

First Name*
Last Name*
Business Name*
Email Address*
Phone Number*
Policy number (If known)
Account details for refunds (Do not put in details if you pay monthly)
BSB
Account-Number
Have you had any claims or known unreported losses?*
Requested Date to be cancelled from*
Reason for cancellation and (if applicable) any claims or known unreported losses*
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

In most cases you will receive a pro-rata refund from the insurers, minus the income we made setting up your policy.

Just be aware that some insurers have cancellation fees or cancellation conditions that are outside of our control and if you set up your policy with a monthly funding arrangement you may still have some outstanding interest that will need to be paid off.

Account details for refunds (Do not put in details if you pay monthly)