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Customer Forms
 Customer Forms

The forms listed below are available for download in Adobe PDF format. If you are unable to open the PDF files below, you will need to download and install the free Adobe Acrobat PDF Reader.

 


Automobile Dealership Products

Vehicle Service Contracts

  Transfer Form
  Cancellation Form - To cancel your coverage, simply click on the "Cancellation Form" link, print the form, fill out the requested information including signature, and return the form to the selling dealer or program administrator listed on the contract for refund processing.

GAP (Guaranteed Asset Protection)

  Cancellation Form - To cancel your coverage, simply click on the "Cancellation Form" link, print the form, fill out the requested information including signature, and return the form to the selling dealer or program administrator listed on the contract for refund processing.
 

  Privacy Notice

Credit Insurance

  Credit Life Insurance Claim Form

  Credit Disability Insurance Claim Form

To cancel your credit life and/or disability insurance, please contact the program administrator at 800.323.5771 x6240 or contact the selling dealer.

 


Marine Products

  Transfer Form
  Cancellation Form - To cancel your coverage, simply click on the "Cancellation Form" link, print the form, fill out the requested information including signature, and return the form to the selling dealer or program administrator listed on the contract for refund processing.

 

  Premium Marine Protection Maintenance Tips - PDF Version
  Premium Marine Protection Maintenance Tips - Audio Version

 


XtraRide Motor Home & Travel Trailer Products

  Transfer Form
  Cancellation Form - To cancel your coverage, simply click on the "Cancellation Form" link, print the form, fill out the requested information including signature, and return the form to the selling dealer or program administrator listed on the contract for refund processing.

 


XtraRide Powersports Products

  Transfer Form
  Cancellation Form - To cancel your coverage, simply click on the "Cancellation Form" link, print the form, fill out the requested information including signature, and return the form to the selling dealer or program administrator listed on the contract for refund processing.