Termination Request January 1, 2023by TruPowur CLICK HERE for Instructions Please enable JavaScript in your browser to complete this form.AGENT/BROKER INFORMATIONName *FirstLastYour Billing Email Address *Enter the eMail Address that is on your Billing for Verification.If this address is incorrect, this request will get Rejected. Your TruPowur Email Address *Enter your TruPowur eMail Only address for verification.Using a Non-TruPowur eMail Address will get Rejected. Agent/Broker Number *Enter your TruPowur Three Digit extension for verification.Cell Phone *RequestPlease Send Me the Terminate License DocuSign FormWe will begin to process your request within the next 72 hours (Business Days). If we need further information, we will contact you via your TruPowur eMail.In Your Own Words, Tell Us Why You Want/Need To Terminate Your Agent or Broker License? *Please Check the Verification of Statement Acknowledgement *I Have Read and Agree to the Termination Requirements listed Below!YOUR CONTRACT WITH TRUPOWUR REQUIRES A 30-DAY ADVANCE NOTICE TO TERMINATE YOUR LICENSE. • ALL AGENT/BROKER LICENSE TERMINATION REQUESTS ARE REQUIRED TO COMPLETE A FORMAL NOTICE TO TERMINATION LICENSE AND MUST BE COMPLETED PRIOR TO ANY LICENSE TERMINATION AND FINAL SETTLEMENT. (The Termination Form will be emailed to the email address of record via DocuSign). • EARLY TERMINATIONS SHORT OF 30 DAYS WILL BE CHARGED ONE (1) FULL MONTH’S LICENSE FEE (AS DISCLOSED IN THE AGENT/BROKER LICENSE CONTRACT) UPON RECEIPT OF THE SIGNED TERMINATION DOCUSIGN. ALL FINAL LICENSE FEES ARE NON-REFUNDABLE. THERE ARE NO REFUNDS OR CHARGE-BACKS PERMITTED. ANYONE FILING FOR A REFUND (CHARGE-BACK) IS SUBJECT TO COLLECTION FEES EQUAL TO TWELVE (12) MONTHS OF LICENSE FEES, PLUS LEGAL FEES. FILING FOR A REFUND (CHARGE-BACK) WITH YOUR CREDIT CARD COMPANY OR BANK IS A BREACH OF CONTRACT AND SUBJECT TO CRIMINAL CHARGES FOR EMBEZZLEMENT (Texas Penal Code Chapter 31) AND THEFT OF SERVICES (Texas Penal Code §31.04). Refer to your signed Independent Contractor Agreement, Non-Disclosure Agreement, Statement of Policies & Procedures, and Member Services & Refund Policy.EmailSubmit to TruPowur
