Loss Run request example letter

NAMED INSURED

ADDRESS

CITY, STATE  ZIP CODE

 

        DATE

        TO:

 

         NAME OF THE INSURANCE COMPANY

         ADDRESS

          PHONE NUMBER

          ATTENTION: LOSS RUN DEPARTMENT

          FAX NUMBER OR EMAIL ADDRESS

 

           RE: LOSS RUN REQUEST

           Policy type:___________________

           Policy number_________________

           Policy Period__________________

 

 

 

        To Whom it may concern:

          With regard to the above captioned policy, this letter authorizes and requests your company to release the complete detailed loss runs showing all experience  ( open  and  closed ) for  the periods to:

         Name of the agency , Attention to : Agent, Email address and fax number

 

          This authorization should remain if force for the period of 90 days starting from: Date

          I appreciate your cooperation and assistance in this matter.

          Signature

           X______________________

           Name, title, Name of Business, phone number, email address

 
 
Make sure to follow up within Seven Days to the company to make sure that it gets processed
 
         
                 
              
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