Writing an Auto Insurance Cancellation Letter [with Samples]

Learn how to write an auto insurance cancellation letter. Use our sample auto insurance cancellation letter as a template for your cancellation letter.

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Sample 1 – Car Insurance Cancellation Letter

April 4, 2019

Name on Policy
Address of Policy Holder
City, State, Zip

XYZ Insurance Company
Address of Company
City, State, Zip

ATT: Cancellations

RE: Auto Insurance Policy #

Please consider this letter as a formal request to cancel the referenced auto insurance policy. Please stop all debits or charges for premium payments. The effective date of policy cancellation is 04/04/2019.

Please send a written confirmation letter to me within 30 days after the cancellation takes effect. Please refund any and all unused portion of my premium.

I look forward to hearing from you.


Name of Policy Holder

Sample 2 – Car Insurance Cancellation Letter

May 25, 2019

BAC Auto Insurance
ATT: Cancellations Department
143 Car Insurance Way
Columbia, VA 21061

Re: Cancellation of Policy #3333456

To Whom It May Concern:

This letter is to request you to cancel my auto insurance policy #3333456 effective 05/30/2019.

Please send me a written confirmation of this cancellation within 30 days upon receiving this request, refund the unused portion of my premium and stop charging the premium following the cancellation date. 

Thank you for your time and prompt attention to this letter. 


Luke Jackson
234 Blue Lane
Livingston, NJ 08086
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