Template of the Form of Rescission of the Agreement - Legal Service Withdrawal

Sep 17, 2026

This document provides a formal template for consumers to initiate the rescission of a service agreement with IFIRMA S.A. It contains essential fields for user input, including the specific service name to be cancelled, the date the original agreement was concluded, the consumer's full name, and the consumer's address. Designed as a standardized withdrawal form, it ensures that users provide all necessary information to legally exercise their right to rescind service provisions, ensuring clarity and compliance.

LanguageEnglish

CategoryForms

FormatPDF

Pages1

AccessFree to download

Form of Rescission of the Agreement

Addressee Information

Service and Consumer Details

FAQs

Who is the addressee for this rescission form?

The form is addressed to IFIRMA S.A., located at ul. Grabiszyńska 241 G, 53-234 Wrocław.

What information must the consumer provide to rescind the agreement?

The consumer needs to specify the service being rescinded, the date of the agreement's conclusion, their full name, address, and signature.

When should the date be included in the form?

The date should be included only if the form is being sent in a paper version.

Sep 17, 2026

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