Stop my auto renewal
Insurance type
*
Please Select
Cycle
Music
Pet
Photo
Please select the insurance you have with us. If your insurance type is not listed please contact us.
Policy Number
*
This must be the policy number of the policy you wish to stop from automatically renewing. You will find your policy number on your policy documentation or your recent renewal letter.
Renewal date
*
/
Day
/
Month
Year
We can only action renewal cancellations via this form if your renewal date is 4 or more days away. If your renewal is less than 4 days away please call us to stop your policy from automatically renewing.
Your details
Correspondence email
*
Please provide an email address we can use to confirm your renewal has been stopped. Ideally this will be the same email address as we have on your file.
Title
*
Please Select
Mr
Mrs
Miss
Ms
Dr
First name
*
This must be the name of the policyholder. We will use this to confirm your identity.
Last name
*
This must be the last name of the policyholder. We will use this to confirm your identity.
First line of address
*
This must be the address we have associated with your policy. We will use this to confirm your identity.
Postcode
*
This must be the postcode we have associated with your policy. We will use this to confirm your identity.
Contact telephone number
*
-
Area Code
Phone Number
Date of birth
*
/
Day
/
Month
Year
This must be the date of birth of the policyholder. We will use this to confirm your identity.
I am the policy holder and I do not wish to automatically renew my policy
*
I confirm
Discuss your renewal
Would you like us to contact you to discuss your renewal before it is stopped?
*
Yes
No
Submit
Should be Empty: