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Policy Cancellation Request Letter Template for Netherlands

A formal written request to terminate an insurance policy in accordance with Dutch insurance law and regulations. This document serves as official communication between the policyholder and the insurance provider, explicitly stating the intention to cancel an existing insurance policy. The letter must comply with the requirements set forth in the Dutch Civil Code (Burgerlijk Wetboek) and the Financial Supervision Act (Wet op het financieel toezicht), including proper identification of the policy, clear cancellation instructions, and any required notice periods. It forms a legally binding communication that initiates the policy termination process.

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What is a Policy Cancellation Request Letter?

The Policy Cancellation Request Letter is a crucial document used when a policyholder wishes to terminate their insurance coverage in the Netherlands. It serves as the formal mechanism for initiating the cancellation process and must comply with Dutch insurance regulations, particularly the Dutch Civil Code and Financial Supervision Act. This document type is essential for maintaining clear communication between parties and ensuring proper documentation of the cancellation request. The letter should include specific policy details, policyholder information, desired cancellation date, and any relevant supporting information. Given the legal implications of policy cancellation in the Dutch jurisdiction, the letter must be clear, comprehensive, and conform to local regulatory requirements. It's commonly used for all types of insurance policies, including health, life, property, and vehicle insurance.

What sections should be included in a Policy Cancellation Request Letter?

1. Sender's Details: Full name, address, contact information, and policy number of the policyholder

2. Date: Current date of writing the letter

3. Recipient Details: Insurance company's name, department, and full address

4. Subject Line: Clear indication that this is a policy cancellation request with policy number

5. Policy Information: Detailed information about the policy being cancelled, including type of insurance, policy number, and current status

6. Cancellation Request: Clear statement requesting cancellation and desired cancellation date

7. Closing: Professional closing, signature, and printed name of the policyholder

What sections are optional to include in a Policy Cancellation Request Letter?

1. Reason for Cancellation: Include when required by policy terms or when cancellation is due to special circumstances

2. Premium Payment Status: Include if there are outstanding payments or if requesting premium refund

3. Claims History Reference: Include if there are ongoing claims or recent claim history relevant to the cancellation

4. Special Instructions: Include any specific requirements for the cancellation process or handling of related matters

5. Return of Documents: Include if physical policy documents need to be returned

What schedules should be included in a Policy Cancellation Request Letter?

1. Proof of Identity: Copy of valid ID document if required by the insurance company

2. Policy Documentation: Copies of relevant policy documents or certificates

3. Authorization Form: If the cancellation is being requested by someone other than the primary policyholder

4. Direct Debit Cancellation: If automatic premium payments need to be cancelled

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Netherlands

Document Type

Insurance Form

Sector

Insurance

Cost

Free to use

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