Request to cancel the compensation document

Request to cancel the compensation document During its validity

Customer data

Full name

Phone number

E-mail address

Reason for cancellation request

Choose the reason

If there's another reason, what is it

Case data

Case number

Subject of the case

Required documents

Copy of national ID card

Copy of the compensation document

Any documents supporting the cancellation request (if any)

Acknowledgement and approval

I acknowledge that I am the owner or legal representative of the document

I acknowledge the validity of all submitted data and documents

I ask to cancel the compensation document of my own free will

I know that the cancellation takes effect only after the approval of the club management

I agree to all the terms and Conditions governing the indemnity policy

Please note that all the benefits of the policy will be discontinued after the cancellation is approved. no new claim will be accepted after the cancellation date. the fees paid will not be refunded unless the regulations stipulate this or if the administration decides not to respond. If there is a claim under review, the execution of the cancellation may be suspended until its completion the club has the right to refuse the cancellation request if it entails damage to the rights of any party
.

I agree to all of the above and confirm my request

Request to cancel the compensation document

Request to cancel the compensation document During its validity

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