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The Policy Cancellation Letter is a crucial document used in the Belgian insurance market when a policyholder wishes to terminate their insurance coverage. It must comply with the Belgian Insurance Act of 2014 and related regulations, including specific notice periods and formal requirements. This document is typically used when changing insurance providers, discontinuing coverage, or modifying insurance arrangements. The letter should include policy details, explicit cancellation statement, effective date, and any requirements for premium refunds or document returns. Given Belgium's linguistic regions, consideration must be given to language requirements, potentially necessitating versions in Dutch, French, or German depending on the location. The document serves as legal proof of cancellation intention and protects both the policyholder's and insurer's interests.

1. Header Information: Policy holder's details, policy number, insurance company details, and date

2. Subject Line: Clear indication that this is a policy cancellation notice

3. Policy Details: Specific details of the policy being cancelled including type of insurance and effective dates

4. Cancellation Statement: Clear and unambiguous statement of intent to cancel the policy

5. Effective Date: Specification of when the cancellation should take effect

6. Outstanding Payments: Statement regarding any premium refunds or outstanding payments

7. Closing: Professional closing with signature block and contact information