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CANCELLATION REQUEST / POLICY RELEASE DATE …

cancellation request (policy attached) policy release (complete statement section below) policy release statement for agency/company use reason for cancellation method of cancellation name and address request/release distribution acord 35 (1/97) oc acord corporation 1988 date (mm/dd/yy) producer phone (a/c, no, ext):

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  Policy, Release, Request, Cancellation, Cancellation request policy release

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ACORD STATEMENT OF NO LOSS

www.sgatn.com

tm producer insured's name telephone number: company: approved by: code: subcode: policy # cancellation date date and time signed applicant's signature

  Testament, Loss, Insured, Statement of no loss

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Cancellation Policy If you are unable to attend an appointment, we request that you provide at least 24 hours advanced notice to our office. Since we are unable to use this time for another client, please note that you will be billed for the entire cost of your scheduled appointment if it is not timely cancelled, unless such cancellation is due

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CANCELLATION REQUEST / POLICY RELEASE DATE …

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cancellation request / policy release date (mm/dd/yyyy) phone (a/c, no, ext): producer code: sub code: customer id: agency policy type company name and address naic code: insured name and address cancellation date time am pm effective date and hour of cancellation policy …

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Cancellation Policies Event Cancellation Policy Catering ...

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cancellation limitations will apply. Third party referral partners are subject to Third party referral partner contract agreements and are not subject to the following policies. Event Cancellation Policy If Client requests cancellation of this contract 90 days of more before the event, Client shall receive a full refund.

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Request for cancellation of insurance policy

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Request for cancellation of insurance policy. Your full name Street address. City State. ZIP code Phone number. I have obtained a policy with another company and am sending you this written notice to request cancellation of my current insurance policy. My information is listed below.

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CANCELLATION REQUEST / POLICY RELEASE - Standard Lines

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CANCELLATION REQUEST POLICY RELEASE (Complete SIGNATURES section below) (Policy attached) Any premium adjustment will be made in accordance with the terms and conditions of the policy. under this policy for losses which occur after the date of cancellation shown above.

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CANCELLATION REQUEST / POLICY RELEASE DATE …

www.alleganygroup.com

The above referenced policy is lost, destroyed or being retained. No claims of any type will be made against the Insurance Company, its agents or its representatives, under this policy for losses which occur after the date of cancellation shown above. Any premium adjustment will be made in accordance with the terms and conditions of the policy.

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Cancellation Policy, Cancellation, Policy, CANCELLATION REQUEST, CANCELLATION REQUEST POLICY