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Get American Collectors Insurance Policy Cancellation Request Form

N will email your completed request form to: Cancellations@americancollectors.com Please read and complete all five sections below. 1) Print Name: First:____________________________ Last:______________________________ 2) Policy Number: ______________________ 3) Requested date of cancellation: _______/_______/_______ 4) Reason for cancellation: (Select one below) Vehicle sold (If sold more than 30 days ago, include a copy of the bill of sale.) For New York residentsPlease also include a copy of t.

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