SAMPLE
FORM #: 09-NMAX5100
PAGE 5 OF 6 09-WMB-GN (10/09)
CANCELLATION AND TRANSFER POLICIES:
During the term of the service contract, you have the option to:
•
CANCEL
the remaining Plan coverage and receive a full or pro-rata refund.
Note: Refer to the cancellation/transfer policy section below for details.
CANCELLATION POLICY:
If you are the original
purchaser of the Plan, you may cancel.
To cancel the Plan
you may take your Plan Provisions to any authorized
Chrysler dealer.
The dealership will contact Chrysler Service
Contracts to request termination of your contract.
If your vehicle is repossessed or rendered a total loss and
your Plan was financed with your vehicle, the lienholder may
request your refund. The lienholder is then responsible for
requesting termination of the contract through the Dealer
where the Plan was purchased. If the Plan was not financed,
any refund due will be paid to you by check in your name
from Chrysler.
If there is no authorized Chrysler dealer in your area, mail
your cancellation request along with your Plan Provisions,
proof of payoff and current mileage on the vehicle to:
CHRYSLER SERVICE CONTRACTS
CANCELLATION DEPARTMENT
P.O. BOX 2700
TROY, MI 48007-2700
On cancellation requests received* within the first 60 days
from the original purchase date of the plan, you will be
refunded the full amount you paid for the Plan, provided no
claims have been paid against the contract. In the event
claims have been paid, or requests received* after 60 days,
your refund will be based on the full amount you paid for the
Plan, less a pro-rata adjustment for time or mileage used,
whichever is greater, less a cancellation fee as indicated
below.
We reserve the right to cancel the Plan after issuance should
it be discovered that: (a) the vehicle is ineligible or has been
modified/altered to make it ineligible after Plan coverage has
been in effect; (b) failure of the customer to maintain the
vehicle as prescribed by the manufacturer; (c) the odometer
has been tampered with or has not been repaired by the
customer; (d) non-payment of premium or (e) the vehicle is
registered outside of the of the 50 States, the District of
Columbia, Guam, and Puerto Rico.
Your refund will be
based on the full amount you paid for the Plan, less a pro-
rata adjustment as set forth in the paragraph above.
NOTES:
•
*Requests Received - The pro-rata cancellation refund
will be based on the date Chrysler Service Contracts
receives written notification of the cancellation
request.
•
All refund checks will be made payable to you and/or
the lienholder.
CANCELLATION FEES
(Applies to the state where the Plan was purchased)
STATE
AMOUNT
Alabama
$25 Administration Fee.
California
$25 or 10% of the Contract Cost,
whichever is less.
Hawaii
$50 Administration Fee.
Illinois
$50 or 10% of the Contract Cost,
whichever is less.
New Hampshire None.
New York
$50 Administration Fee.
North Carolina
$50 or 10% of the pro-rata refund amount,
whichever is less.
Georgia
90% of the unearned pro-rata premium –
no Administration Fee.
Oklahoma
90% of the unearned pro-rata premium
not to exceed $75. If we cancel, 100% of
the unearned pro-rata premium will be
refunded.
All others
$75 Administration Fee.
Note: Plans sold beyond 12 months or 12,000 miles from the
original in-service date and within 48,000 miles have a
surcharge applied to the Plan cost. $150 of the applicable
surcharge is non-refundable after 60 days from the Plan sale
date. This statement does not apply to Florida, New
Hampshire, Washington or Arizona.
TRANSFER POLICY:
The original purchaser may
authorize transfer of coverage, provided the Plan has not
been canceled. Remaining Plan coverage may be
transferred to the first subsequent purchaser of the vehicle
AT TIME OF VEHICLE SALE ONLY. Thereafter, the Plan is
non-transferable and non-cancelable.
To transfer this service contract, complete the transfer form.
Be sure to include your signature. This means you are
authorizing transfer of Plan coverage to the new owner.
Transfer requests will not be processed: (a) without the
signature of the owner for whom these Plan Provisions were
originally issued; or (b) if received after 60 days from the
date of vehicle ownership change.
You MAY take your Plan Provisions with the completed
transfer form and transfer fee to an authorized Chrysler
Dealer to process BOTH the factory warranty and Chrysler
Service Contract transfers. The Chrysler Service Contract
transfer fee is as follows:
TRANSFER FEES
(Applies to the state where the Plan was purchased)
STATE
AMOUNT
New
Hampshire
None
All
others $50
NOTES:
•
Any contract financed on the Chrysler Service
Contract/Dealer Payment Plan is NOT transferable until
the contract is paid in full.
•
Factory warranty transfer fee may apply. Please refer
to your owner’s manual or ask your dealer for details.
SPECIAL STATE NOTICES
IOWA
If you have any questions or complaints concerning this
service contract, they may be addressed to:
Commissioner of Insurance
Iowa Insurance Division
Lucas State Office Building
Des Moines, IA 50319
WISCONSIN
THIS WARRANTY IS SUBJECT TO LIMITED
REGULATION BY THE OFFICE OF THE COMMISSIONER
OF INSURANCE.
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