If you need to cancel one of your policies, please complete the information below.
We'll action your request as soon as possible. If we need more information before we cancel your policy, we'll send you an email.
First name*
Surname*
Date of birth*
Email address*
Contact Number*
What policy would you like to cancel? Please include a policy number, if available.*
What date would you like to cancel your policy from?*
Reason for cancellation*
Would you like us to call your mobile or landline?*
We might owe you a refund as part of this cancellation, please provide your bank account so any refund can be returned to you.
Name of account holder
Account number