SAVE FORMER FOOTPRINT FORMCancellation Request Form CANCELLATION REQUESTS MUST BE PROCESSED THROUGH THE DEALERSHIP Return document to: Allstate Dealer Services, 1776 American Heritage Life Dr., Bldg.

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How to fill out the ADS Cancellation Request Form 02.19 (FINAL) online

The ADS Cancellation Request Form 02.19 (FINAL) is essential for requesting the cancellation of specific services. This guide provides clear, step-by-step instructions to help users fill out the form accurately and efficiently online.

Follow the steps to complete your cancellation request form.

  1. Press the ‘Get Form’ button to access the ADS Cancellation Request Form 02.19 (FINAL) and open it in your online editor.
  2. In Section A, select the product you wish to cancel by checking the appropriate box. Options include Guaranteed Asset Protection (GAP), Excess Wear & Tear (EWT), Vehicle Service Contract (VSC), and others. Be sure to include the contract number associated with the product.
  3. Proceed to Section B and provide the required producer information. This includes the producer's name, ID, cancellation effective date (in mm/dd/yyyy format), and the physical address, including city, state, and zip code.
  4. In Section C, fill out your customer information. Provide your last name, first name, vehicle identification number (VIN), and the odometer reading as of the cancellation date, ensuring accuracy.
  5. In Section D, select the reason for cancellation by checking the relevant box and attaching any necessary supporting documentation based on your chosen reason. Indicate whether a claim will be filed if canceling GAP or EWT by selecting 'Yes' or 'No'.
  6. Move to Section E and complete the signature requirements. Dealership personnel should sign and print their name. If customer approval is required, the customer must also provide their signature and today's date in the specified format.
  7. Once all sections are filled out accurately, review the form for completeness. Save your changes, and choose to download, print, or share the completed form as needed.

Complete your ADS Cancellation Request Form 02.19 (FINAL) online for a seamless and efficient process.

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