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--Your Letterhead-- (Insurance Agent Name) (Your Street ...

--Your Letterhead-- Date: To:(Insurance Agent name )(Insurance Agent Street Address)(Insurance Agent City, State, Zip Code)(Fax #) From:(Your name )(Your Street Address)(Your City, State, Zip Code)(Your Email or Fax #) Re:LOSS RUN REQUESTP olicy Type(s): (ie: Workers Compensation, General Liability, Umbrella, etc.)Policy Number(s): This letter serves as a request for all loss runs for the above policy numbers. Please (email / fax) loss run data in connection with these policies for the past 5 years, including the current policy year.

--Your Letterhead--Date: To: (Insurance Agent Name) (Insurance Agent Street Address) (Insurance Agent City, State, Zip Code) (Fax #) From:(Your Name)

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Transcription of --Your Letterhead-- (Insurance Agent Name) (Your Street ...

1 --Your Letterhead-- Date: To:(Insurance Agent name )(Insurance Agent Street Address)(Insurance Agent City, State, Zip Code)(Fax #) From:(Your name )(Your Street Address)(Your City, State, Zip Code)(Your Email or Fax #) Re:LOSS RUN REQUESTP olicy Type(s): (ie: Workers Compensation, General Liability, Umbrella, etc.)Policy Number(s): This letter serves as a request for all loss runs for the above policy numbers. Please (email / fax) loss run data in connection with these policies for the past 5 years, including the current policy year.

2 My contact information is above. Please feel free to contact me with any questions. I look forward to receiving the requested information at your earliest convenience. Sincerely, _____ (Your name )


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