To,
The Manager,
__________ (Name of the insurance company),
__________ (Address of the insurance company)

Date: __/__/____ (Date),

Subject: Cancellation of car insurance bearing policy no. __________ (mention insurance policy number)

Requested Sir/Madam,

I am __________ (name) and I am holding an insurance policy in your company. I have been availing the ____________ (mention policy name) policy for my car ______ (name of the car).

Courteously, I am writing this letter in reference to the insurance policy for vehicle number __________ (mention vehicle number) and policy number _____-_____ (mention policy number). The policy is going to expire on __/__/_____ (date) and I am not willing to continue using the services as __________ (mention reason for cancellation) and want to cancel the insurance w.e.f __/__/____ (cancellation date).

Therefore, it is to request you discontinue the services for the mentioned policy. You may contact me at __________ (mention contact number).

Thanking you,
_________ (Signature)
_________ (Your name),
_________ (Policy number),
_________ (Contact number)

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