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Cancellation fee claim form

To claim your cancellation fee refund simply complete the form below and don't forget to upload a copy of your proof of cancellation fee from your previous insurer.

If you haven't yet cancelled your current insurance you can download our handy cancellation form template below.

* Title:

* First Name:

* Surname:

* Postcode:

* House number and street:

Address line 2:

* Town / City:

* County:

* Country:

* Email Address:

* Previous Insurance Provider:

* Cancellation fee amount (Max £100):

* TSB Home Insurance policy start date:

* TSB Home Insurance policy number:

* How would you like to receive your refund:

For payment into a nominated account please provide the following:

* Account name:

* Account number:

* Sort code:

* Upload your proof of cancellation and cancellation fee:

Please upload a picture of your cancellation and cancellation fee, using one of the following file extensions pdf, jpg, gif or png .

(Not exceeding 4 MB or 4096 KB).

If you had buildings and contents insurance with different insurers and want to claim the cancellation fee for both, please include proof of each.

Terms and Conditions

Choose File

* By ticking here and entering your details you agree to the terms and conditions.

* Mandatory fields

All data will be held in accordance with the Data Protection Act 1998 and will be collected and administered by MLP (Marketing Lounge Partnership) on behalf of TSB for the cancellation fee refund offer. TSB may hold personal information supplied in this form for administration and marketing purposes. If you would like to receive marketing information from TSB please tick this box.

To claim the cancellation fee refund, a claim must be submitted within 90 days of your TSB home insurance start date.

If you haven't yet cancelled your current home insurance download this template 'Instruction to Cancel' form. Update it with your details and send it onto your current supplier.

Download printable 'Instruction to Cancel' form (PDF)

Download

This offer is being administered and managed by MLP Fulfilment Services, The Stables, Home Farm, Mere, Cheshire WA16 0PX behalf of TSB.

Cancellation fee claim form

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