Stop your automatic debit now

Enter the form below to create a letter to your bank to cancel the automatic debit.

Personal Details

Your Bank Details

Debit Details

Custom Letter

custom letters are not signed with CancelAid seal


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Your name
Street address
City , Your zip code , State

Date: Today

Bank name
Street address
City , Bank zip code , State

Subject: Revocation of authorization for electronic debits

To Whom It May Concern:

Company Name no longer has my permission to take automatic debit payments from my bank account. I have revoked the authorization that had enabled this company to debit my account via electronic funds transfer. Please ensure that any further automatic debit payments from this merchant are not deducted from my account.

My Name: Your name
Payee Company Name: Company Name
Checking Account Number: Account Number

I have revoked authorization as of Cease Date date for any future debits by Company Name. I would appreciate receiving written conformation that the revocation has been put into effect.

Thank you for your attention to this matter. Awaiting your reply.


Your name

This letter was drafted and posted using the Cancel-Aid self-help and postal service. Cancel-Aid does not provide legal advice or participate in any legal representation. For more information visit

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Important when Cancelling a Direct Debit Authority

Check your contract with the provider for how much notice is required

Cancelling a direct debit or cancelling a contract may result in negative consequences (such as default or early termination fees, or even legal action).

You should also check your contract with the business for how much notice is required. The effective date for the cancellation of the agreement should match the effective date for the cancellation of the direct debit.

Are you also trying to cancel a contract for goods and services (e.g. internet account, subscription, membership)?

You will also need to cancel your contract directly with the service provider you have a contract with. This letter can be generated separately on the Cancel-aid site.

Find the provider you want to cancel

Request your bank to credit your account for unauthorized debit payments

Did you receive a confirmation of your cancellation from your service provider, but money is still debited from your account? Ask your bank to refund the unauthorized debits.