This form is provided for your convenience if you wish to exercise your cancellation rights.
You are not required to use this form. You may cancel your contract by any clear written statement, including by email or letter.
Customer Details
Customer Name
Property Address
Telephone Number (optional)
Email Address (optional)
Contract Details
Quotation / Invoice Reference (if known)
Date Contract Accepted
Date Work Was Due to Commence (if applicable)
Cancellation Request
I hereby give notice that I wish to cancel my contract with HomeTech Wales for the supply of the following services:
Has Work Already Started?
☐ No
☐ Yes (I understand I may be required to pay for work completed and reasonable costs incurred up to the date of cancellation.)
Customer Declaration
I confirm that the information provided is accurate and that I wish to cancel the above contract.
Signature
Print Name
Date
Returning This Form
Please return this form to:
HomeTech Wales
David Owen Booth
Email: info@hometech.wales
Website: www.hometech.wales
Telephone: 07909 225315
What Happens Next?
HomeTech Wales will acknowledge receipt of your cancellation request as soon as reasonably practicable and will contact you if any further information is required.
Where work has already commenced at your request, any charges due will be calculated in accordance with your contract and HT005 Cancellation Rights.
Document Information
| Item | Details |
| Document | HT005A Cancellation Request Form |
| Version | 1.0 |
| Effective Date | 5 July 2026 |
| Last Reviewed | 5 July 2026 |
| Next Review | 5 July 2027 |
| Document Owner | HomeTech Wales |
| Approved By | David Owen Booth |
The latest version of this document is published on the HomeTech Wales website. Printed or downloaded copies are considered uncontrolled and users should refer to the website to ensure they are viewing the current version.