First extended service corporation 2026

1. Click ‘Get Form’ to open the Customer Cancellation Form in the editor.
2. Begin by entering the Dealership Name and Dealer Number at the top of the form. This identifies your dealership for processing.
3. Fill in the Address, City, State, and Zip Code for both the dealership and customer sections to ensure accurate communication.
4. Input the Customer Name and Telephone Number. This information is crucial for any follow-up regarding the cancellation.
5. Provide details such as Agreement Number, Vehicle Identification Number (last 8 digits), Year/Make Model, Original In-Service Date, Effective Date of Cancellation, and Mileage at Date of Cancellation.
6. Indicate where the refund should be sent by selecting either Lienholder or Customer. Ensure you check if a refund has been issued.
7. Complete the financial details including Retail Price, Refund Amount, Cancellation Fee (if applicable), and calculate NET REFUND.
8. Sign and date the form. If desired, include a customer signature in the designated area.
9. Finally, place the completed form in an envelope and mail it to First Extended Service Corporation at the provided addresses.

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