1. Reason for Cancellation: Optional explanation of why coverage is being cancelled - included when required by provider or when member wishes to provide context

2. Outstanding Claims Declaration: Statement regarding any pending claims - included when there are outstanding medical claims

3. Alternative Coverage Statement: Information about new medical aid coverage - included when required by law or when switching to another provider

4. Request for Refund: Details for refund of pre-paid premiums - included when applicable

5. Document Return Request: Request for return of membership cards or other documents - included when provider requires physical items to be returned

1. Membership Documentation: Copies of membership cards or certificates to be attached

2. Payment History: Record of recent premium payments if relevant to refund requests

3. Outstanding Claims List: List of any pending claims that need to be processed before cancellation

4. Authorization Form: Any specific forms required by the medical aid provider for cancellation processing