Cancellation Request Form

Chubb Insurance Malaysia Berhad, Registration Number: 197001000564 (9827-A), is committed to providing excellent service - focusing in quick turnaround time when handling cancellation request.

Please use the form below for Cancellation Request.

Please note that the cancellation process will take up to 14 working days to take effect.

*Required fields.

**Please call our Customer Care Specialist to obtain the Policy Number at 1800-88-3226 (Mondays to Fridays, 8:30am to 5:15pm, excluding public holidays).

**If you have more than 1 policy to be cancelled, please include all policy numbers into the field of “Your Policy Number(s)” to refrain from sending separate request for each policy.

Your Full Name

Your Email Address

Your Phone Number

Your Policy Number(s)*

Reason for Cancellation* (Please Select)

Other Cancellation Reason

NRIC

Preferred Time To Contact*

Personal Data Protection Notice

By providing your personal information, you are deemed to have given consent and authorisation to Chubb to collect, use and/or disclose (whether in or outside of Malaysia) your personal information supplied to Chubb, to our affiliated companies, third party service providers or government agencies for the purpose of performing data analytics, carrying out regional reporting, performing administrative tasks and contacting you by all modes of communication whether by telephone calls, SMS, emails or faxes in order to respond to your enquiry or request and to receive marketing, advertising and promotional information, messages, materials and/or documents about Chubb’s products and/or services. You may choose to unsubscribe at any time if you no longer wish to receive any marketing/ promotions from Chubb by writing to Inquiries.MY@chubb.com. Please refer to Chubb’s Personal Data Protection Notice for more information.

Please confirm you have read and agreed to the use of your personal data for the above purpose in accordance with the Chubb Personal Data Protection Notice.