Cancel a Policy | Pip - the Property Insurance People

Cancellation Form

"*" indicates required fields

Please fill in your details, so we can do the rest.
We'd also appreciate if you could take a moment to let us know why by completing this quick survey.

Contact Details

Name of person completing this form*

First Last

I am the

Landlord

Property Agent

Is the owner aware of this cancellation request?

Yes

Landlord's Email*

Phone Number Noted on Policy*

Real Estate Agency Name*

Agent's Email Address

Policy Details

Landlord Name*

Name of the Policy holder

First Last

Policy Number*

Please provide numbers for all the policies you wish to cancel - e.g. Building & Landlord Policy

Address of Insured Property*

Street Address Suburb State Postcode

Date of Cancellation*

Should you require the cancellation to be backdated by more than 28days you will need to provide supporting evidence: -Confirmation of Sale -Solicitor or Conveyancer's letter confirming the sale has been completed The documents can be attached at end of this form.

Reason for Cancellation*

Please provide more information.

File Uploads

If your property was sold, or ceased being a full time rental more than 30 days ago and you require cancellation of your Policy to be backdated, please attach a copy of the Final Settlement Letter, or the Final Tenant Ledger showing the vacate date.

Attachments

Attach supporting document here. Maximum of five documents only.

Drop files here or

Accepted file types: pdf, docx, png, jpg, Max. file size: 15 MB, Max. files: 5.

Banking Details

Please provide details of the preferred account so we can refund any unused premium owing to you.

Account Name*

BSB*

Account Number*

Payment Reference

What will appear in your bank statement

Cancellation Form

Contact Details

Policy Details

File Uploads

Banking Details

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