Form

Contract revocation

You can revoke a newly concluded insurance contract within 14 days. Fill in the form and sign directly on screen — we turn it into the signed revocation and take care of delivering it to the insurer within the deadline.

Your details

First name

Last name

Street / no.

Postcode / town

Phone (optional)

The contract

Insurance company

Policy/application number

Insurer's street / no. (if known)

Insurer's postcode / town (if known)

Policyholder (if not yourself)

Place (for the date line)

Your signature

Sign directly in the box with mouse or finger

I declare the revocation of the above contract and instruct VFR Versicherungs-, Finanz- und Riskmanagement GmbH to submit it to the insurer. I accept the privacy policy as binding.

Contract revocation

Your details

The contract

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Murmi

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