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Cancellation of Insurance Forms
Please select from one of the options listed below:
Request For Refund* (PDF – 51 KB)
*If the Insured resides in the Province of Québec,
please also complete one of the following forms:
Notice of Cancellation (Québec only) (to be completed if the cancellation occurs within ten days of the insurance purchase) (PDF - 32 KB)
Notice of Cancellation (Québec only) (to be completed if the cancellation occurs more than ten days after the insurance purchase) (PDF - 33 KB)
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