Cancellation Request / Policy Release

Form Template

ACORD is a research organization that provides data and solutions to the insurance industry, as well as other resources for insurance professionals.

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The ACORD cancellation request app is a notice of cancellation digital application that is used by an insurance company as tangible evidence of the insured's instruction to cancel a contract.

The ACORD cancellation request app is both a release form and a cancellation form with regards to a clients insurance policy. It is useful for a variety of insurance-related issues, in particular to items related to a companies refund policy, dispute resolution and mandatory arbitration. Furthermore, it includes unique canvas fields such as a digital signature feature which allows you to capture signatures within the app to complete legal authorization.

You can add fields to contain information about your insurance company's contract, cancellation policy, terms and conditions, case numbers, cancellation fees and more.

  • Signature Capture
  • Conditional Fields
  • Submission Editing
  • Reference Data
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