Filled Cancellation (PDF)
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4/22/2016
Progressive Auto Insurance – Mobile
Policy Cancellation Request
Insurance Company
Progressive Direct Insurance Co.
P.O. Box 31260
Tampa, FL 33631
Named Insured
Michael Garcia
10181 Monarch Road 2
Roscoe, IL 61073
815.981.5142
Attention: Customer Service
9112C973633
I, Michael Garcia, would like to cancel my current insurance policy, policy number ____________. To avoid
any lapse in coverage, I request that my current policy be canceled on the date that my new policy with
Progressive Direct Insurance Company starts.
Progressive policy effective date and time is April 22, 2016 04:16 PM ET.
Please send any account refunds directly to me.
Sincerely
Michael Garcia
04-22-2016
X
Full Name
https://autoinsurance1.progressivedirect.com/CancelForm
Date
1/1
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