Loss Run Request Letter Template – US

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Updated: 2025 – 2026


Notification Request

The following correspondence serves as an example for requesting claims history or loss data from an insurance provider. It is provided for informational purposes only and does not constitute legal advice. Users should ensure that their requests comply with applicable laws and regulations. This template is meant to facilitate communication but should be reviewed and tailored by professionals before use to suit specific circumstances. We are not responsible for any errors or consequences resulting from the use of this example without proper legal consultation.


PDF

PDF

Word

Word

Sample

Sample

Template

Template


Please note: This is a sample Loss Run Request Letter template for the United States, provided for illustrative purposes only. Actual content and format may vary based on specific requirements and organizational standards.

Loss Run Request Letter Sample (US)

To Whom It May Concern:

Date: _____________________________

[Insurance Carrier/Company Name]

[Address]

Subject: Request for Loss Run Report

Dear Sir or Madam,

We kindly request a comprehensive loss run report for the insured, [Policyholder Name], policy number [Policy Number], covering the period from [Start Date] to [End Date]. This information is necessary for our underwriting evaluation and risk assessment purposes.

Please include details of all claims reported, closed, and outstanding, along with the corresponding dates, claim numbers, and loss amounts.

Should you require any additional information or documentation to process this request, please contact us at:

[Your Name]

[Your Title]

[Your Company]

Phone: [Your Phone Number]

Email: [Your Email Address]

We appreciate your prompt assistance in providing this report at your earliest convenience. Please send the requested documents to the above address or email.

Thank you for your cooperation.

Sincerely,

__________________________
[Your Name]
[Your Title]
[Your Company]