Cancellation Request Form for Vehicle Service Contracts
This form is a Cancellation Request for various vehicle service contracts, including warranties, GAP waivers, and more. It is essential for customers looking to cancel their contract and request refunds. Ensure all relevant details are provided for accurate processing.
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How do I fill this out?
To fill out this form, start by entering your personal information, including your name and address. Next, provide the details of your vehicle and select the products you wish to cancel. Finally, read the cancellation terms and agreements, sign where indicated, and submit the form.

How to fill out the Cancellation Request Form for Vehicle Service Contracts?
1
Enter your name, address, and contact information.
2
Fill out vehicle details such as year, make, and model.
3
Select the products you wish to cancel.
4
Provide reasons for cancellation and any necessary documentation.
5
Sign and date the form before submission.
Who needs the Cancellation Request Form for Vehicle Service Contracts?
1
Car owners who wish to cancel their vehicle service contracts.
2
Customers who need to cancel GAP insurance for their vehicles.
3
Individuals whose vehicles have been sold or traded.
4
Renovators who have financed repairs through a warranty and want to cancel.
5
Dealerships handling customer requests for warranty cancellations.
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What are the instructions for submitting this form?
To submit this Cancellation Request Form, send it via email to Afas.cancels@assurant.com or fax it to 281.681.2327. Alternatively, you can mail the completed form to American Financial Warranty Corporation, Post Office Box 7719, The Woodlands, TX 77387. Make sure to keep a copy of the form for your records and check for any required documents to include with your submission.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, keep track of your warranty expiration dates and cancellation deadlines. Make sure to submit your cancellation requests timely, especially if nearing the end of your contract. Review your contracts closely for specific important dates related to renewals or cancellations.

What is the purpose of this form?
The purpose of this Cancellation Request Form is to formally document a customer’s desire to cancel their vehicle service contracts. It serves as a tool for customers to clearly communicate their intention to discontinue the coverage they initially purchased. Completing this form is critical for ensuring that the appropriate refunds, if any, are processed efficiently and accurately.

Tell me about this form and its components and fields line-by-line.

- 1. Customer Name: The full name of the customer requesting cancellation.
- 2. Address: The current address of the customer.
- 3. Contract Number: The unique identification number associated with the service contract.
- 4. Vehicle Details: Information regarding the vehicle, such as year, make, and model.
- 5. Products to Cancel: Selection of specific products the customer wishes to cancel.
- 6. Reason for Cancellation: The reason provided by the customer for canceling their contract.
- 7. Signatures: Required signatures of the customer and dealer representatives.
What happens if I fail to submit this form?
Failure to submit this form may delay the cancellation process and result in continued charges for the service contracts. It is crucial to ensure that the form is completed accurately and sent as instructed to avoid complications. Missing the submission deadline can also mean missing out on potential refunds.
- Continued Payments: You may continue to be charged for the services you intended to cancel.
- Refund Delays: Processing refunds may take longer if the form is not received on time.
- Lapse in Coverage: If not canceled properly, you may face an unintentional lapse in coverage.
How do I know when to use this form?

- 1. Selling a Vehicle: Use this form when you sell or trade your vehicle and wish to cancel the contract.
- 2. Loan Paid Off: If you've fully paid off your loan, this form is necessary for requesting cancellation.
- 3. Service Dissatisfaction: Employ this form if you are dissatisfied with the contracted services and wish to terminate.
Frequently Asked Questions
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Is it possible to share the form with others?
Yes, you can share the PDF via email or social media directly from PrintFriendly.
How long does it take to process my cancellation?
Processing time may vary, but you can generally expect a response within a few business days.
Do I need to provide proof of cancellation?
Yes, you may need to attach relevant documents when submitting the cancellation request.
What if I made a mistake on the form?
You can simply edit the PDF again to correct any mistakes before submission.
Who do I contact if I have questions about my cancellation?
Contact the customer service representative listed on the cancellation form for assistance.
What happens after I submit the cancellation form?
The company will review your request and process your refund if applicable.
Are there any fees associated with cancellation?
Refer to your service agreement for specific details regarding cancellation fees.
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