Direct Debit Cancellation Loading ... 1 Introduction2 Your Details3 Submit By cancelling your SEPA Direct Debit mandate you are telling us to stop all SEPA Direct Debit payments to the Creditor specified in the unique mandate reference below. Once we process your request, your mandate cannot be reactivated. You must tell the Creditor that you have cancelled your direct debit mandate. Direct Debit InformationIf you sign up to 365 online or Business On Line, you can bank 24 hours a day, 7 days a week. To learn more, visit www.bankofireland.com. You need to fill in a separate form for each direct debit you wish to cancel. You must fill in all fields marked with *. These are mandatory. If you submit incorrect information, we may not be able to cancel your direct debit. Are you cancelling your Direct Debit Mandate before the first Payment?*YesNoHas first payment been collected?*YesNoAmount of last payment (if Applicable)Date of last Direct Debit Payment (if Applicable) Date Format: DD slash MM slash YYYY Creditor Name*Creditor ID*Unique Mandate Reference*IBAN*Customer InformationName* First Last If you would like to be notified when your request has been processed, please fill in your contact details below: Mobile Phone NumberEmail Enter Email Confirm Email Today's date Date Format: DD slash MM slash YYYY For Internal Use onlyCustomer ID - KYC or Customer produces photo ID*YesNoStaff ID Field* I want to sign this form electronically. By pressing the “Submit” button I am providing evidence of my signature. Bank of Ireland has my consent to keep the electronic version of this form I am submitting. PhoneThis field is for validation purposes and should be left unchanged.