Request Loss Runs

NeitClem Wholesale and Insurance Brokerage — Loss Run Request Form

Fields marked with * are required. Providing additional details such as the insured name and effective date will help us locate the correct policy and process your request faster.

Who is requesting loss runs? *

Requestor Information

Policy Information

Are you requesting loss runs for more than five and up to 50 policies? *

Policy 1

What format should the report(s) be generated in? *


Contact Loss Runs

(323) 258-2600
Mon–Fri, 8:30 AM – 5:00 PM

What to Expect

  • Confirmation email sent to you immediately
  • Our team reviews and processes your request
  • Loss runs delivered within 1–3 business days
  • Contact us if you need expedited processing

Tips for Faster Processing

  • Provide the policy number if available
  • Include the policy effective date
  • Use Add Policy for multiple policies in one request
  • Select your preferred report format (PDF or Excel)

Submitting Your Request

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NeitClem Wholesale and Insurance Brokerage