Domestic Labor Insurance (DLI) Policy Cancellation Request

Please fill in the fields accurately, attach the required documents, and complete OTP verification.

Letter

To Buruj Cooperative Insurance Co.

I would like to cancel my Domestic Labor Insurance policy.

Policy & Applicant Information

Policy Number

Employer (Insured) Name

National ID

Mobile Number

Bank Name

IBAN

Submission Date

Applicant Email

Cancellation Reason

Required Documents

OTP Verification

A verification code will be sent to the mobile number above.

Mobile (for sending OTP)

Verification Code

Acknowledgement

Acknowledgement & Consent:
By agreeing, you confirm that all information provided is accurate and your sole responsibility, and that you are the policyholder requesting this cancellation on your own behalf only. You also understand that after cancelling the policy you will not be able to make any claim for damages or losses related to the domestic workers listed on the policy. Buruj is held harmless accordingly.