The Insurance Cancellation Form is a critical document used in the Swiss insurance market for the formal termination of insurance contracts. It is designed in accordance with the Swiss Federal Law on Insurance Contracts (VVG/LCA) and related regulations, providing a standardized method for policyholders to exercise their right to cancel insurance policies. This document is utilized across various insurance types, from mandatory health insurance to optional coverage, and must be submitted with proper notice periods as specified in Swiss law. The form includes essential elements such as policyholder identification, policy details, effective cancellation date, and any required supporting documentation, ensuring a legally valid cancellation process while protecting both the insurer's and policyholder's interests.
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1. Policyholder Information: Essential details including full name, address, contact information, and customer/policy reference number
2. Insurance Policy Details: Specific information about the insurance policy being cancelled, including policy number, type of insurance, and insurance provider details
3. Cancellation Declaration: Clear and unambiguous statement of intent to cancel the insurance policy
4. Effective Date: Specification of when the cancellation should take effect, considering notice periods required by law or contract
5. Signature Block: Space for policyholder signature, date, and location
1. Reason for Cancellation: Optional section to state the reason for cancellation - required if cancelling outside standard termination windows or for extraordinary circumstances
2. Premium Refund Request: Section requesting refund of pre-paid premiums, if applicable
3. Alternative Insurance Declaration: Statement confirming new insurance coverage - required for mandatory insurance types like health insurance
4. Power of Attorney: Required if the form is being submitted by someone other than the policyholder
5. Special Instructions: Any specific instructions regarding the cancellation process or outstanding claims
1. Proof of Identity: Copy of identification document of the policyholder
2. Policy Documentation: Copy of relevant insurance policy pages or policy schedule
3. New Insurance Certificate: Required for mandatory insurance types - proof of new insurance coverage
4. Authorization Documents: Power of attorney or other authorization documents if applicable
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