Request received Thank you. A Diligent representative will contact you. Customer Pre-Cancellation Request Please fill out this form completely and submit. A Diligent representative will contact you — submitting this form does not cancel your contract. Company website Which product would you like to cancel? Please choose… Tire & Wheel Protection Premium Protection Package Plus Diligent MAX Vehicle Service Contract Vehicle Asset Protection Reason for cancellation Please choose… Customer Request Total Loss Repossession For Any Other Reason Vehicle Identification Number (17 characters) Found on your insurance card, or at the base of the windscreen. First name Last name Phone Email Notes Photos of your driver’s licence Both sides, please. JPG, PNG or HEIC, up to 10 MB each. Your licence is stored privately and used only to verify your identity. Front Back Submit request
