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ACORD
Edition ACORD 0035 2017-05 Acroform

Cancellation Request / Policy Release

Standard ACORD cancellation instrument. Requests mid-term cancellation of an in-force policy or binder, or releases the carrier from liability when the policy is lost, destroyed, or retained. Requires the named insured's signature. Transactional service form used at cancellation time; not an underwriting supplement.

Fields
102 fields
Pages
1 page

Fill the Cancellation Request / Policy Release in minutes, not hours

Bindly interviews the insured in one plain-language conversation and auto-fills the fields for you, ready for broker review and e-signature. No logins or downloads for the insured.

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Bindly reads this form, interviews the insured once, and fills every field — skipping questions that don't apply and reusing answers across the whole submission packet. You review, e-sign, and submit.