Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the date in the designated field at the top of the form. Ensure the format aligns with the example provided.
3. Fill in the customer name and address. This information should reflect the individual or entity on the policy.
4. In the 'FROM' section, indicate the sending party, usually your dealership information.
5. In the 'TO' section, specify the recipient of the cancellation request, ensuring it matches the information of the insurance company.
6. Complete the GAP policy section by entering your dealer account number and either the policy number or the last six digits of the vehicle identification number (VIN).
7. Provide details about the vehicle, including make, model, cancellation date, model year, and mileage.
8. Select the cancellation reason from the provided options and include any required documentation as stated.
9. In the distribution of refund section, indicate where you would like the refund to be sent: to the selling dealer, lienholder, or policyholder.
10. Sign and date the signature section as the policyholder and ensure the printed name of the dealership representative is included.
11. Review all entered information for accuracy. Once confirmed, you can save changes, download, print, or share the form as needed.

Complete your paperwork online now for a smooth process.