Cancellations - Logging - Dis-Chem Life

Retentions

Submitted By(Required)

Source of Request(Required)

Policy Number(Required)

First Name of Person Requesting Cancellation(Required)

Surname of Person Requesting Cancellation(Required)

Phone Number of Person Requesting Cancellation

Email of Person Requesting Cancellation

Date of Cancellation Request(Required)

Time of Cancellation Request(Required)

Outcome(Required)

Cancellation Reason(Required)

Retained Reason(Required)

Comment(Required)

Escalation Required?(Required)

Called by Client Services?(Required)

If you’re in the Ops team and want to just cancel a policy then select yes