Consumer Contracts Regulations 2013: model cancellation form

The model cancellation form as set out in Part B of Schedule 3 of the Consumer Contracts (Information, Cancellation and Additional Charges) Regulations 2013 (SI 2013/3134). This form can be used in relation to distance and off-premises contracts for the supply of goods or services.

 

MODEL CANCELLATION FORM

(Complete and return this form only if you wish to withdraw from the contract)

 

To [TRADER’S NAME, ADDRESS, TELEPHONE NUMBER AND, WHERE AVAILABLE, FAX NUMBER AND E-MAIL ADDRESS TO BE INSERTED BY THE TRADER]:

 

I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale of the following goods [*]/for the supply of the following service [*],

 

Ordered on [*]/received on [*],

 

Name of consumer(s),

 

Address of consumer(s),

 

Signature of consumer(s) (only if this form is notified on paper),

 

Date

 

[*] Delete as appropriate

 

© Crown copyright 2013.

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