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  1. Click ‘Get Form’ to open the Mechanical Repair Coverage Cancellation Request in the editor.
  2. In SECTION I, enter your Agreement/Policy Holder Name(s) and Address, along with the Agreement/Policy Number and Effective Date. Make sure to include the Year, Make, Model of your Vehicle and its Vehicle Identification Number (VIN).
  3. Proceed to SECTION II and fill in the Credit Union Name and Member(s) Account Number accurately.
  4. In SECTION III, specify the Date of Cancellation, Mileage at Cancellation, and provide a Reason for Cancellation.
  5. Finally, in SECTION IV, sign and date the form to request cancellation of your Mechanical Repair Coverage Agreement/Policy. Ensure all information is complete to avoid processing delays.

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