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Cancel Your Coverage

Important: This form will only start the cancellation process if you pay for your American Fidelity benefits using a credit card, EFT, or check.

If your benefits are paid through payroll deduction through your employer, please contact your employer to begin the cancellation process.

Contact Information
Additional Information
Please do not include any sensitive personal information.
Please do not include any sensitive personal information.

By providing my phone number or email address, I agree to allow American Fidelity Assurance Company to contact me regardless of my status on any Do-Not-Contact list. Contact Terms and Conditions

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