Immoweb Protect cancel form

Cancellation request form

In specific case you can cancel your contract during the year (for example if you are moving abroad or after an incident). It is also possible to cancel your Immoweb Protect contract either within 14 days of purchase or at the latest 2 months before the annual expiry date if you don't wish to renew it for the following year. After renewal, you can also cancel your contract at any time. In this case, however, you must also observe a two-month notice period.
Contract reference*
Email*
I would like to cancel my insurance contract (subject to acceptance):*

At the next renewalAt a specific date
Cancellation date*

DayMonthYear
Specify the reason why you would like to cancel?*

Change in the conditions or tariff of my contractI’m moving abroadI’m moving outI’m not satisfied with the handling of my claimI have found another insurer with a better offerOther
Your IBAN number*
Can you please provide your IBAN number in case your request is accepted and a refund is due?
Do you want to transfer your insurance to your new address in Belgium ?*

YesNo, I'm becoming a home owner or I'm moving with someone who's already insured
Exact date when you moved/will be moving*

DayMonthYear
Date
New complete address: street, number, (box), postcode and city*
What is the monthly rent, excluding charges?*
Is it a flat or a house?*
If it is a flat, on which floor is it located? If it is a house, how many facades does it have?
Would you like to keep exactly the same options as now, or would you like to add more?*
Proof of your new situation*

To accept the early termination of your contract, can you please provide proof of your new situation, such as your address registration, or a certificate of property purchase.
Cancelof
Proof of insurance*

We can only accept your request if your new rental was already insured previous to your move. Please kindly send us proof of this previous fire insurance contract so that we can accept the early cancellation of your current contract.
Cancelof
Do you have any suggestion/comment to improve our insurance
Please note that this request might be reviewed by our team and subject to acceptance.
Should be Empty:

Cancellation request form