By signing below you are agreeing to the terms of cancellation. Once this form has been completed you are not able to reinstate your policy for any reason.

Proof of odometer is required to ensure the accuracy of your refund, without the required notarized odometer statement your cancellation will not be processed. Refunds may be delayed by the lienholder. Please call the lien holder if you have not received cancellation funds in more than 6 to 8 weeks.

You must use this website to cancel your contract(s). This software is meant to provide a contactless service and allow our customers to make changes to policies they may have purchased from our Dealerships.