Agreement withdrawal

/Contacts
/Agreement withdrawal

Request to withdraw an insurance contract
(In case of refunding the policy premium to the third-party, please contact BTA bta@bta.ee or 568 68 668)

Insurer’s name*

Insurer’s e-mail*

Policy and/or vehicle registration number*

Termination date (from)*

Type of policy*

Insurer’s bank account number*

Bank’s name*

I hereby confirm, that I am informed about the right to withdraw an insurance contract within 14 calendar days. Please refund paid insurance premium to the abovementioned bank account.

*Required fields

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Agreement withdrawal