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  • Roadvantage Cancellation Form

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Cancellation Request Form CANCELLATIONS ARE FINAL. COVERAGE CANNOT BE REINSTATED FOR ANY REASON. SELLING DEALER IS RESPONSIBLE FOR ALL REFUNDS. ALLOW TWO WEEKS FOR PROCESSING. Contract Number: Contract.

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How to fill out the Roadvantage Cancellation Form online

Filling out the Roadvantage Cancellation Form online is a straightforward process. This guide will walk you through each section of the form, ensuring you understand how to provide the necessary information accurately and efficiently.

Follow the steps to successfully complete the cancellation form.

  1. Click ‘Get Form’ button to obtain the cancellation form and open it in your document editor.
  2. Enter your contract number in the designated field. This is essential to identify your specific agreement.
  3. Fill in the contract date and the cancellation date. Ensure that these dates are accurate for processing.
  4. Provide the odometer reading at the time of cancellation. This helps in verifying your vehicle's usage.
  5. Specify the year and model of your vehicle along with the vehicle identification number (VIN). This information is critical for processing your cancellation.
  6. Indicate the program for which you are requesting cancellation by selecting from the provided options. Ensure you select all applicable programs.
  7. State your reason for cancellation by choosing from the options given, or specify another reason in the provided space.
  8. Fill out the dealer or lessor's name as well as your name as the buyer or lessee. Accurate names are crucial for proper documentation.
  9. Provide your complete address including the city, state, and ZIP code. This will assist in processing any refunds.
  10. Enter your phone number for any follow-up communication regarding your cancellation.
  11. Sign the form where indicated, to confirm that you have read and understood the cancellation policy. Also, ensure that the dealer or lessor signs the form.
  12. Make sure to attach a copy of the contract and any other necessary support documentation for your cancellation reason.
  13. Finally, save your changes, download the completed form, print it out, or share it as necessary, and then send it to the cancellation department.

Complete your cancellation request online today to ensure your submission is processed efficiently.

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A cancellation request must be received in our office within 30 days of the requested cancellation date to be processed without penalty. All incomplete requests, missing information or support documentation, will be returned unprocessed and will delay refund.

(Please note that the RoadVantage Claims Portal is reserved for authorized dealership personnel only. Contract holders/consumers should call our toll-free phone number, 855-902-5246, for assistance. Thank you.)

This assistance covers towing or winch-out service, flat tire replacement using the vehicle's inflated spare, delivery of fuel, water and other fluids necessary to operate the Vehicle (excluding the cost of fluids), lock-out assistance, jump start.

Cancellations Direct Line: 855-955-7623. Email: cancellations@vtg-services.com.

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