Get Virginia Individual License Cancellation Request Form - Scc Virginia

Filling out the Virginia Individual License Cancellation Request Form is an essential step if you need to cancel your insurance licenses. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the cancellation request form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your producer name in the designated field at the top of the form. This identifies you as the license holder requesting the cancellation.
3. Next, input your producer address accurately. This should be your current mailing address to ensure proper communication from the Bureau.
4. Provide your email address in the specified field. Ensure that this email is valid as notifications about the status of your cancellation will be sent here.
5. Enter your Virginia license number. This is crucial for the Bureau to identify your specific licenses that need to be canceled.
6. In the section where you request cancellation, check the appropriate boxes for the licenses you wish to cancel. You can select 'All Licenses' or individual categories like health, life & annuities, property & casualty, etc.
7. After filling out the form, read the understanding statement carefully. It confirms that the Bureau will communicate the cancellation to the insurance companies with which you hold contracts and notify you when the request is processed.
8. Sign the form using a digital signature in the designated space. This signature verifies your identity and indicates your consent to the cancellation.
9. Lastly, input the date on which you are submitting the form. This date provides a record of your cancellation request.
10. After completing all fields, email the completed form to AgentLicensing@scc.virginia.gov. Attach the filled-out form before sending.

Ensure your licenses are canceled efficiently by filling out the necessary documents online today.