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Cancel Service
REQUESTER
Requester's First Name *
Requester's Last Name *
Requester's Email *
Effective Date *
Reason for Cancellation * (check all that apply):
Monitored Client believes they are able to maintain recovery on their own
Court order concluded
Concerned Party agrees that monitoring is no longer needed
Treatment professional agrees monitoring is no longer needed
Completed the Minimum Term Contract
Financial reasons
Too difficult to use
Taking a Pause or Changing Soberlink Plan
Other
Please select a cancellation reason.
CLIENT INFORMATION
Monitored Client info the same as Requestor info
Monitored Client First Name *
Monitored Client Last Name *
Monitored Client Email *
Device ID *
Deactivation Options
Deactivate Immediately
Deactivate on a Future Date
I agree to the “Deactivation Terms & Conditions” below:
If I am not the paying party, the device will not be deactivated.
If the device was purchased with a Minimum Term Contract and the Term has not ended, an Early Termination Fee will be applied to the final invoice.
Tests will no longer be able to be submitted once the account is deactivated.
A final invoice will be issued and automatically charged during the first week of the following month. The final invoice will be for a prorated amount based on how many days the device was active as of the date of deactivation.
Cancellation requests are subject to a processing period that may reach up to 2 business days following their submission.
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