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Life Insurance Cancellation Letter (Free Samples)

Use these sample life insurance cancellation letters as templates for your formal cancellation letter.
​Last updated on September 21, 2021


Sample 1 - Life Insurance Cancellation Letter
DATE

Name on Policy
Address of Policyholder

XYZ Insurance Company
Address of Company

ATT: Cancellations

RE: Life Insurance Policy #

Please consider this letter as a formal request to cancel the referenced life insurance policy. Please stop all debits or charges for premium payments. The effective date of policy cancellation is DATE.

I am also requesting written confirmation of the cancellation and the return of any premiums. The cash value of the policy should also be sent with any returned premium. This action needs to occur within a period of 30 days from the receipt of this letter.

Sincerely,

Name of Policyholder

​Sample 2 - Life Insurance Cancellation Letter
DATE

Name on Policy
Address of Policyholder

ABC Insurance Company
Address of Company

Attn: Cancellations

RE: Life Insurance Policy #

Please allow this letter to constitute my formal demand for cancellation of the above life insurance policy. Please make this cancellation effective as of DATE. I also request written confirmation of this cancellation, along with a refund for unused premiums, within 30 days from the receipt of this letter.

Sincerely,

Name of Policyholder

​By Andre Bradley

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