Cancellations - Response

Retentions - Response

This form must only be used if you received an email stating that there was a cancellation request for your policy.

Submitted By(Required)

UUID from the Email(Required)

If you don’t have a UUID then please reach out to Nitisha. If you have received a cancellation notification email and don’t have a UUID then reach out to Jordan

Policy Number(Required)

Outcome(Required)

Cancellation Reason(Required)

Retained Reason(Required)

Comment(Required)