VSC and GAP Cancellations

Today's Date
Cancellation Date
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
First Name*
Last Name*
Email*
Primary Phone*
Alt Phone
Please Cancel The Following Contract(s)
- Vehicle Service Contract
- GAP
Vehicle Information
Year*
Make*
Model*
Full Vehicle Identification Number (VIN)*
Upload Picture of Your Odometer*
I Am Cancelling For The Following Reasons: (Select All That Apply)(Upload necessary Documents)*
- The loan has been paid off in full (Upload paid in full letter from lender)
- The vehicle has been sold or traded in to another dealer. (Upload Secure odometer disclosure or bill of sale)
- Total Vehicle Loss (Upload total loss paperwork from Insurance)
- Customer Request (Upload picture of odometer with verified date)
Upload paid in full letter from lender*
Upload Secure odometer disclosure or bill of sale*
Total Loss Insurance Paperwork*
Upload picture of odometer with verified date*
By checking this box I authorize cancellation of the above named policies. In doing so, I agree to immediately assume all risks that would have otherwise been covered by the cancelled policies. I further understand that the service charge indicated in the Contract may be subtracted from any refund for which I qualify and this refund may take up to 60 days to process.*
- Yes
Your Comments
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Vehicle Information