- Your name
- Policy number
- Name of the insurance company
- Today’s date
- The date you want to cancel the policy
- And state something like, “I would like to cancel this policy.
- Place your signature at the bottom.
Take a picture or scan it into your computer, then email it to
You can mail it to us at:
InsureSource Agencies, LLC
1224 NE Walnut St. #243
Roseburg, Oregon 97470.
You can look up your insurance company here to see if they offer a voice request option to cancel your policy over the phone. Some won’t and will refer you back to us.
We require your signature to cancel a policy, the same way a signature is required to start a policy. The lifecycle of a policy is complete when it is no longer needed, or more affordable coverage has been found elsewhere. Please write out on a blank piece of paper the following: