Application to cancel a security interest

Use this form to tell us about a cancellation to any security interest on a registered trade mark.



This file may not be suitable for users of assistive technology. Request an accessible format.

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email Please tell us what format you need. It will help us if you say what assistive technology you use.


Note: The grantee or their representative can sign section 5 ‘Authorisation to change register’ without the need to provide written proof of the cancellation. If the trade mark owner or their representative signs this section, then they must provide proof of the cancellation.

Fee sheet

Fee payable forms must be accompanied with a completed fee sheet.



Published 16 September 2013