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Cancel Cyber Liability Program

Complete this form for each FEIN you are opting out of program.

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FEIN*

Business Legal Name

Name of Person Cancelling Coverage*

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FEIN*

Business Legal Name

Name of Person Cancelling Coverage*

Email*

Copyright © 2025 | CyberMax Protects, A Division of Granite Insurance Brokers | License #0C41366

The Professional Industry Purchasing Group is a risk purchasing group (RPG) authorized under federal law and registered in all 50 states and the District of Columbia. The risk purchasing group provides an effective platform to facilitate the purchase of cyber liability insurance for small to medium size businesses.

The program is underwritten by Technology Insurance Company, Inc. (rated A- by AM Best).

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