Loss Run Request Letter Template

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Loss Run Request Letter Template

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Loss Run Request Letter Template (1)
From:
[Your Name]
[Your Job Title]
[Your Company]
[Your Address]
[Your Phone]
[Your Email]
To:
[Insurance Company Name]
[Insurance Company Address]
Date:
[Date]
Subject:
Request for Loss Run Reports
Dear [Insurance Company Contact],
I am writing to formally request the loss run reports for our account for the past [Specify Time Period, e.g., “three years”]. These reports are critical for our upcoming renewal process and will assist us in understanding our claims history accurately.
Details of Our Insurance Policy:
Policy Number: [Your Policy Number]
Policy Type: [Specify Policy Type, e.g., “Liability”, “Property”]
Request Information:
Please provide a comprehensive loss run report detailing all claims made during the specified period. We seek to include information such as:
  • Claim Dates
  • Claim Amounts
  • Status of Claims
  • Description of Claims
Confidentiality Assurance:
We assure you that this information will be treated with the utmost confidentiality and will only be used for the stated purpose.
Conclusion:
Thank you for your attention to this matter. We appreciate your prompt response to this request. Should you have any questions or require further information, please do not hesitate to contact me directly at [Your Phone] or [Your Email].
Sincerely,
[Your Signature]
[Your Name]
[Your Job Title]
[Your Company]
Loss Run Request Letter Template (2)
From:
[Your Name]
[Your Job Title]
[Your Company]
[Your Address]
[Your Phone]
[Your Email]
To:
[Insurance Company Name]
[Insurance Company Address]
Date:
[Date]
Subject:
Request for Loss Run Reports
Dear [Insurance Company Contact],
I hope this message finds you well. I am reaching out to request the loss run reports associated with our policy for the past [Specify Time Period, e.g., “five years”]. This is essential for us as we prepare for our policy renewal.
Policy Information:
Policy Number: [Your Policy Number]
Policy Type: [Specify Policy Type, e.g., “General Liability”, “Workers’ Compensation”]
Request Details:
We would appreciate it if you could provide the following information in the loss run reports:
  • All claim details including date, amount, and status
  • Brief description of each claim
  • Any relevant notes attached to the claims
Important Reminder:
This information will be treated confidentially and utilized for the purpose of risk assessment and policy understanding.
Final Thoughts:
Thank you for your immediate attention to this request. We look forward to receiving the requested loss run reports at your earliest convenience. Should you need any additional information, please feel free to contact me directly.
Best regards,
[Your Signature]
[Your Name]
[Your Job Title]
[Your Company]

Template Online

Format

Please complete the form below to create the Loss Run Request Letter Template. All fields must be filled out to ensure a clear and complete request. We provide examples to guide you through each step.

Loss Run Request Letter Template

1. Requestor Information




2. Insured Information



3. Insurance Company Details



4. Request Purpose

5. Timeframe for Request

6. Signatures and Declarations

7. Declaration and Signatures


PDF

WORD

Google Docs

Printable

Loss Run Request Letter Template

Printable | Editable Form

PDF 1 PDF 2

Loss Run Request Letter Template