Home or auto insurance policy cancellation

Do you have to cancel your home or auto insurance?

Kindly fill out the secure form.

Note: A agent may contact you to validate certain information required to confirm your cancellation.

Important!

  • If you are cancelling your insurance contract before the end date, cancellation fees will apply.
  • If you are cancelling your insurance contract on the renewal date, no fees apply.
  • Make sure to have other insurance in effect on the cancellation date.

Contact Information

More than one designated insured?

Applicant's statement

I want the insurance contract mentioned above to be terminated on the date indicated. I understand that the termination will take effect on the date specified in this form, following the reception of this email by SSQ Insurance.

Applicant's statement

We want the insurance contract mentioned above to be terminated on the date indicated. We understand that the termination will take effect on the date specified in this form, following the reception of this email by SSQ Insurance.

Attach files

Documents accepted: gif, jpg, png, bmp, pdf and doc. Size maximum 5MB per file and size for all files should not exceed 15 MB.

One file only.
5 MB limit.
Allowed types: gif, jpg, png, bmp, pdf, doc, docx.
One file only.
5 MB limit.
Allowed types: gif, jpg, png, bmp, pdf, doc, docx.
One file only.
5 MB limit.
Allowed types: gif, jpg, png, bmp, pdf, doc, docx.