Consumer model form

Model cancellation form

Use this form if a statutory right of withdrawal applies to the specific contract. It is optional; any other clear statement is sufficient.

Last updated: 19 August 2026

The German model form is the governing version; this translation is for information.

Model withdrawal form

To: XXX XXXX, XXXXXXXXXX, email: info.umzughilfen@gmail.com

I/We (*) hereby withdraw from the contract concluded by me/us (*) for the provision of the following service:

________________________________________

Ordered on (*) / contract concluded on (*): ____________________

Name of consumer(s): ____________________

Address of consumer(s): ____________________

Date: ____________________

Signature of consumer(s) (only if submitted on paper): ____________________

(*) Delete as appropriate.

Send the statement in time by email or post. Include any offer/order number and agreed date so the contract can be identified.