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Request Loss Runs
Information
This loss runs request page will allow you to do multiple policies for the same insured without having to type in the same information each time.

Please fill in the form below to request loss runs.

Insured Information
Insured Name:
Policy Number(s):
Agent Information
Submitting Agent Name:
Agent E-Mail:
Agency Fax: --

Please note that we try to send loss runs to you within 24 hours, however we have to request loss runs from the company and this process may take a few days.
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This program is only available to properly licensed retail insurance offices
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