ACORD 35: Cancellation Request / Policy Release
ACORD 35 is the Cancellation Request / Policy Release. It records a request concerning a specified policy, the proposed cancellation date, and the signatures or release information required by the form and carrier process.
What it is
ACORD 35 is the Cancellation Request / Policy Release. It records a request concerning a specified policy, the proposed cancellation date, and the signatures or release information required by the form and carrier process.
A completed request is not confirmation that the carrier processed the cancellation. Track the carrier response, the effective date accepted, and any premium adjustment before closing the task.
When it's used
- A client asks to cancel a policy and the carrier accepts this form.
- The carrier requests a policy release as part of its cancellation process.
- Your team needs a clear record of the client's instruction and requested date.
Section-by-section walkthrough
Agency and carrier information
Your agency's details and the carrier holding the policy being cancelled.
Review check: Identify the correct agency and insurer.
Policy information
Policy number, line of business, and the policy term.
Review check: Use the policy and term being cancelled.
Named insured
The named insured exactly as it reads on the declarations.
Review check: Match the named insured.
Cancellation date and reason
The client's requested cancellation date and reason. Keep the carrier's accepted date in the final record.
Review check: Record the client's requested date and reason precisely.
Method of premium return
The return-premium treatment requested or confirmed by the carrier, using the applicable policy and process.
Review check: Confirm the applicable return-premium treatment.
Policy release
The release information and declarations required by the form and carrier process. Read the actual wording with the insured.
Review check: Read the exact release wording before requesting a signature.
Signatures
The signatures and consents required by the applicable form and carrier instructions.
Review check: Verify required signers and their authority.
In Relay
Relay can prepare supported ACORD drafts from the documents you provide. This reference guide explains ACORD 35; it is not a promise that this form or edition is available in your workspace. Check the supported form, then review the fields and missing answers before use. See how →
Common errors
- Treating the requested date as an accepted cancellation date.
- Promising a refund method before checking the policy and carrier response.
- Failing to confirm who must sign the request.
Common questions
Does ACORD 35 cancel the policy automatically?
It records a request or release. Follow the carrier's process and obtain confirmation of the effective date and any conditions.
How is the return premium calculated?
The policy terms, applicable requirements, and carrier calculation govern. Flat, pro rata, and short rate describe different treatments. Do not assume an insured-requested cancellation always uses one method.
Can we request a past cancellation date?
Ask the carrier what evidence and conditions apply. Keep the requested date separate from the date the carrier accepts, and do not promise a backdated result.
Related forms
Form references
- ACORD Forms Portal: current forms and authorized access
- ACORD-authored Forms Index, May 2024 (historical form names)
Confirm the form edition and requirements with the market receiving the submission.
Part of the Relay ACORD form library. Updated 2026-07-11. See how we source content.
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