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This form is used for policy cancellation requests, commonly referred to as a Lost Policy Release (or LPR, for short.)
Lawful permanent residents (LPRs), also known as green card holders, are non-citizens who are lawfully authorized to live permanently within the United States.
It is also called a Cancellation/Lost Policy Release. This form, which the insured signs, releases the insurance company from any further responsibility. If you change auto insurance companies, you will need to sign this form in order to cancel the policy with the same effective date as the new policy.
Policy Cancellation means complete withdrawal or termination of the entire Policy before the stipulated Date of Maturity.
Canceling an insurance policy used to involve mailing the actual paper policy package back to the insurance company. In the modern insurance industry, cancellation does not require mailing back the policy. Lost policy releases are, therefore, not necessary in most cases. They are, however, still used in some cases.
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A lost policy release (LPR) is a statement that releases an insurance company from its liabilities. In the modern day, canceling an insurance policy no longer requires mailing back original policy documents, so lost policy releases are no longer necessary in most insurance cases.
Generally, such releases carry the option of either releasing or cancelling a policy. While they sound different, both options are, in effect, the same. Lost policy releases are not necessary in most modern insurance cases and do not require mailing back the original policy documents.
If you miss a car insurance payment, youll get a legally required notice of cancellation from your insurer. This notice may come in the mail or by phone call or email. Youll usually have 10 to 20 days between the date of the cancellation notice and the date you are no longer covered.

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