Existing Customer Cancellation Request Form

Cancellation Form

All fields are mandatory.

*Online cancellation is not available for Funeral Insurance policies. If you wish to cancel your Funeral Insurance policy, please contact New Ireland Assurance Company plc directly.

Policy/Reference Number

Your policy number can be found on your customer documentation

Your Name

Your Postal Address

Your Date of Birth

*Please use format DD/MM/YYYY

Your Email Address

*Please note the email address must be the same email address on your policy

Your Phone Number

*Please note the phone number must be the same phone number on your policy

Date and time of which you wish to cancel your policy

*Please use format DD/MM/YYYY 00:00. Policy cancellations cannot be backdated.

If a Car Policy, your Car Registration

*Under the terms of the Road Traffic Act, the certificate and windscreen disc for a car no longer insured must be returned to us within seven days.

Reason for cancellation

Please tick this box if you wish to cancel your policy in line with the information noted above

Cancel my policy

We will acknowledge receipt of this cancellation by email and once cancelled we will issue confirmation of your cancellation by email or post.

Please note that the details supplied by you will be used and retained by An Post Insurance for the purposes of contacting you in response to your request only. This information will not be used or retained for any other purpose, unless otherwise requested by you. Calls may be recorded for verification and training purposes.