Cancellation request form - Mechanical Breakdown Protection, Inc 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Select whether you are canceling a Vehicle Service Contract (VSC) or a GAP Contract by checking the appropriate box at the top of the form.
  3. Fill in your personal details: Contract Holder's name, city, address, state, zip code, and phone number.
  4. Enter your VSC or GAP Contract number, purchase date, email address, vehicle year, make, model, and VIN.
  5. Provide the selling dealer's name and address along with lien holder information and loan account number.
  6. Indicate the reason for cancellation by checking one of the options provided. If applicable, attach proof for your reason.
  7. For VSC cancellations only, include automobile mileage at cancellation and attach proof of mileage.
  8. Sign and date the form as the customer. If applicable for VSCs, have the dealership sign as well.
  9. Submit the completed form to MBPI/VPI at the provided address or via fax.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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You can cancel your standalone breakdown policy at any time. Breakdown cover protects your car, van or motorcycle if it unexpectedly breaks down. Cancelling your policy means you will need to pay for roadside assistance.
Cancellation and Refund Policies Typically, theres a period (30 to 60 days) to cancel a new MBI policy and receive a full refund.
With MBPI, you wont have a provider that cant provide for you in the future. Contact MBPI at (800) 325-7484 and ask for our friendly sales team so they can direct you to one of our top rated Dealers in your neighborhood!
Please go to or call your selling dealership or the place you originally purchased the coverage and request the cancellation. If this is not possible, you may call MBPI GAP at (800) 325-7484.
Absolutely. If you are unsatisfied with your coverage, or if you trade your vehicle prior to the term expiration, you may cancel the MPP Vehicle Service Agreement at any time.

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