1. Your name
2. Policy number
3. Name of the insurance company
4. Today’s date
5. The date you want to cancel the policy
6. And state something like, “I would like to cancel this policy.
7. Place your signature at the bottom.

Take a picture or scan it into your computer, then email it to doug.hartley (at) insuresource (dot) com, or you can text it to 503-693-2852.

You can mail it to us at:

InsureSource Agencies, LLC
PO Box 537
Roseburg, Oregon 97470.

You can look up your insurance company here to see if they offer a voice request option to cancel your policy over the phone. Some won’t and will refer you back to us.