Transfer Form
Cancellation Form
Cancellation FAQs 

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.

Cancellation Form
Cancellation FAQs
Privacy Notice

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.

Credit Life Insurance Claim Form
New York Credit Life Insurance Claim Form
Credit Disability Insurance Claim Form
Third Party Authorization Form
W-9 Packet

To cancel your credit life and/or disability insurance, please contact the program administrator at 800.841.4777 or contact the selling dealer.