Electronic Declaration to surrender your Certificate of Motor Insurance

Please complete the form below to surrender your Certificate of Motor Insurance

Section 147 of the Road Traffic Act 1988

* = Required field

I, the policy holder can confirm that the Certificate of Motor Insurance relating to the above vehicle registration will cease from the date and time below:

:

The use of this form means that your policy is cancelled. It will be deleted from the Motor Insurance Database which is used by the police to enforce the law on insurance. If you use your vehicle without a valid policy, you will be committing an offence, and you may have your vehicle seized by the police.

The declaration must be submitted to the insurer or the insurer's appointed agent within seven days of the cancellation date. Failure to comply with this requirement is an offence under section 147 of the Road Traffic Act 1988.

Should you have received a paper certificate which has subsequently been lost or destroyed, this declaration serves as a statement to that effect in accordance with Section 147 (4B) of the Road Traffic Act 1988.

Please click on this link to view our terms of business which details Autonet's cancellation charges.