[Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] [Insurance Company Name] [Insurance Company Address] [City, State, ZIP Code] Subject: Notice of Cancellation — Insurance Policy [Policy number] Dear [Insurance Company Name], I am writing this letter to officially request the cancellation of my insurance policy [Policy number] with [Insurance Company Name]. I regret to inform you that due to unforeseen circumstances, it is necessary for me to terminate my insurance coverage effective [Cancellation Date]. As per the terms and conditions outlined in the policy agreement, I am providing you with the required [Notice Period] notice in advance to cancel the policy before the next billing cycle. I kindly request you to process the cancellation and provide me with a written confirmation of the cancellation within [Number of Days] days from receipt of this notice. Please find below the details of my insurance policy: Policy Number: [Policy Number] Policy Start Date: [Start Date] Policy End Date: [End Date] I would like to state the reason for my decision to cancel the policy. [Briefly explain the reason for policy cancellation. For example, financial constraints, policy no longer meets my needs, or switching to a different insurance provider.] To ensure a smooth transition, I would appreciate any guidance or assistance you can provide regarding the cancellation process, including any necessary paperwork or steps I need to follow. Additionally, please inform me of any possible penalties, outstanding premiums, or refund amounts that may be applicable upon cancellation. I expect any refund due to be promptly processed and returned to me at the address provided above. If there are any outstanding premiums or fees, please clearly outline the total amount owed and how I can make the payment. In compliance with the terms of the policy agreement, I authorize [Insurance Company Name] to terminate any automatic deductions from my bank account or any other payment method associated with this policy. Please provide a written confirmation of the cancellation, the effective date of cancellation, and any additional steps or actions required from my end. If there are any further obligations or forms that need to be completed, kindly share them with me at the earliest convenience. Thank you for your attention to this matter. I appreciate your prompt response and cooperation. Yours sincerely, [Your Name] [Policyholder] [Policyholder's Signature] (only if a hard copy is being sent)