This simple letter is a release of interest in insurance policy relating to a property. This type of release is often used by landlords who had required a tenant to list them on a policy. The release is generally issued at the end of a lease term.

This form can be used in the following provinces: Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Saskatchewan and Yukon.