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Car and Motorcycle Cancellation Request Form

Sold or scrapped your car or motorcycle?

Request to cancel your policy by completing the form and providing the necessary supporting documents below. Cancellation cannot be greater than 7 days before today’s date and policy coverage will cease 1 day after the selected date of cancellation.

 

Policy cancellation details
All fields are required.

Policy coverage will cease 1 day after the selected date of cancellation. For example, if the cancellation date is input as 20th Jan, the effective cancellation date will be 21st Jan as you will still require coverage on the date of de-registration/transfer.

Upload all applicable documents

  • Maximum 2MB per upload
  • File types accepted: .pdf, jpg, jpeg, bmp, .doc, .docx, .xlsx, .msg, .xls, .png
  • Up to 6 documents allowed for each document type
An agreement that outlines the conditions of a vehicle sale/purchase between a buyer and seller of a vehicle stating the handover date.
Notification issued by LTA to inform the registered vehicle owner on the successful de-registration of vehicle. (Can be retrieved from onemotoring.com with Singapass login)
Notification issued by LTA that Seller (Vehicle Owner) transfers Vehicle ownership (Can be retrieved from onemotoring.com with Singapass login)

Payment details

Please select a payment mode and provide your details on how you would like to receive your payment. All refunds will be subjected to a cancellation fee of $90 (car insurance) / $53.50 (motorcycle insurance) (include of GST).

Please note that we can only make payments to Claimant’s NRIC registered in our records. For settlements expected to exceed SGD5,000, please select the Bank Transfer option.
Please note that we can only make payments to Claimant’s mobile number/Policy holder registered in our records. For settlements expected to exceed SGD5,000, please select the Bank Transfer option.

Declaration, authorisation and data privacy consent

  1. I acknowledge and agree to the collection, use and disclosure of my personal data which has been provided for the purposes of procuring insurance products & services as per the terms in DirectAsia's Personal Data Protection Statement.
  2. I, the Policyowner of the above policy hereby request for cancellation of the above policy and accept that Direct Asia Singapore Pte Ltd. shall be fully and completely discharged of any liability upon the cancellation of the policy.
  3. I agree that the original Certificate of Insurance remains the property of Direct Asia Insurance (Singapore) Pte Ltd. and following cancellation or replacement, it will have no value and that it cannot be used as proof of cover.
  4. I declare that I have not amended, transferred, or traded the Certificate to any third party or used it in any formal capacity as proof of cover or value.
  5. I hereby acknowledge and confirm that there are no incidents which will give rise to a claim during the current period of insurance. In case of any claim (including a pending or reserve claim) under the Policy, Direct Asia Singapore Pte Ltd reserves its rights to recover the refunded amount and / or repudiate the Policy against all claims.
  6. I am aware that I will not receive any refund of premium if on or before cancellation of this Policy:
    1. Any claim has been made or expected to arise under this policy;
    2. The premium has not been paid
  7. I am aware that my refund will be pro-rated less a cancellation fee of $90 (car insurance)/ $53.50 (motorcycle insurance) (inclusive of GST).