Loss Run Request | NeitClem Wholesale Insurance and Brokerage

How It Works

Submit Your Request

Complete the form below with your contact information and the policy numbers you need loss runs for. You can request up to 50 policies per submission.

NeitClem Processes

Our team verifies each policy and compiles your loss run reports from our carrier partners. Complex or bulk requests are prioritized in the order received.

Receive Your Reports

Reports are delivered to your email in your chosen format — PDF or Excel — within one business day. You'll receive an email confirmation immediately after submitting.

Loss Run Request Form

All fields marked with * are required. Please review your request before submitting.

01 Requestor Information

Who is requesting loss runs? *

Agent / Broker

Insured

First Name * First Name is required.

Last Name * Last Name is required.

Email Address * Please enter a valid email address.

Agency / Brokerage Name (if applicable)

02 Report Preferences

Report Format *

PDF

Excel

Bulk Request (more than 5 policies, up to 50) *

No (1–5 Policies)

Yes (6–50 Policies)

For bulk requests over 50 policies, please contact us directly at lossruns@neitclem.com.

03 Policy Details

Enter each policy number below. Name of Insured and Effective Date are optional but help speed up processing.

Policy #1

Policy Number *

Name of Insured (optional)

Effective Date (optional)

04 Additional Notes

Notes (optional)

You'll be shown a summary to review before your request is sent. Reports are typically delivered within one business day.
For urgent requests, call us at (323) 258-2600.