פשוט לבטל בקליק
שלבי התהליך
לא יודעים באיזו חברה אתם?
לחצו כאן לבדיקה
1
בחירת חברת ביטוח
2
פרטי קשר
3
פרטים אישיים
4
בחירת סוג ביטוח
בחר חברת ביטוח
[field id="select_insurance_company"]
[field id="id_number"]
[field id="cancel_insurance_full_name"]
[field id="phone_number"]
[field id="cancel_insurance_email"]
[field id="cancel_insurance_city"]
[field id="cancel_insurance_street"]
[field id="cancel_insurance_house_number"]
[field id="cancel_insurance_policy_number"]
[field id="id_number"]

[field id="cancel_insurance_current_date"]
[field id="cancel_insurance_full_name"]
פרטי קשר
[field id="select_insurance_company"]
[field id="id_number"]
[field id="cancel_insurance_full_name"]
[field id="phone_number"]
[field id="cancel_insurance_email"]
[field id="cancel_insurance_city"]
[field id="cancel_insurance_street"]
[field id="cancel_insurance_house_number"]
[field id="cancel_insurance_policy_number"]
[field id="id_number"]

[field id="cancel_insurance_current_date"]
[field id="cancel_insurance_full_name"]
פרטים אישיים
למה אנחנו בעצם מבקשים תעודת זהות?
כדי שנוכל לאמת ולזהות את הפרטים האישיים שלכם ובכך נוכל לוודא שרק אתם מבטלים את הפוליסת ביטוח שלכם ולא אף גורם אחר.במידה ויש ברשותכם תעודת זהות ביומטרית יש להעלות גם צילום של החלק האחורי של ת.ז
[field id="select_insurance_company"]
[field id="id_number"]
[field id="cancel_insurance_full_name"]
[field id="phone_number"]
[field id="cancel_insurance_email"]
[field id="cancel_insurance_city"]
[field id="cancel_insurance_street"]
[field id="cancel_insurance_house_number"]
[field id="cancel_insurance_policy_number"]
[field id="id_number"]

[field id="cancel_insurance_current_date"]
[field id="cancel_insurance_full_name"]
בחרו סוג ביטוח
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תודה רבה, הטופס נשלח בהצלחה
An error occured.
[field id="select_insurance_company"]
[field id="id_number"]
[field id="cancel_insurance_full_name"]
[field id="phone_number"]
[field id="cancel_insurance_email"]
[field id="cancel_insurance_city"]
[field id="cancel_insurance_street"]
[field id="cancel_insurance_house_number"]
[field id="cancel_insurance_policy_number"]
[field id="id_number"]

[field id="cancel_insurance_current_date"]
[field id="cancel_insurance_full_name"]