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Surrender-Cancellation Statement - American Fidelity 2026
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- Click ‘Get Form’ to open the Surrender-Cancellation Statement in the editor.
- Begin by entering your policy number in the designated field. This is crucial for identifying your specific policy.
- Fill in the insured's name and address details accurately to ensure proper processing of your request.
- As the policyowner, provide your full name, address, and social security number. If there are multiple owners, all must sign.
- In the surrender statement section, confirm your intention to cancel the policy by signing and dating where indicated.
- If applicable, initial next to the appropriate statement regarding the original policy's status (lost or destroyed).
- Review all signature requirements based on your ownership type (individual, partnership, corporation, or trust) before submitting.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2017 | 4.9 Satisfied (46 Votes) |
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Related links
You, your beneficiary, or a duly authorized representative may appeal any denial of a claim for benefits by filing a written request to American FidelityRead more
PLEASE USE THIS FORM TO CANCEL COVERAGE. PHONE 800-437-1011 FAX 800-654-2324 the American Fidelity Assurance Company,