Our policyholders and their agents of record have a right to request their loss run reports.  The Loss Run Team will validate the information given and provide a loss run report within 3 business days of receiving this form.

Please note that the Loss Run Team can provide up to 5 years claims history (loss runs) to:

  • The policyholder directly, based on policies carried with Service American Indemnity Company.
  • The agency of record directly, based on policies represented by the agency

Please select from the following:

  • Agency Request for Loss Runs
  • Policyholder Request for Loss Runs









    SLIC policy numbers begin with SRZ... or WC00...


    Loss runs may only be released to the policyholder or the agency of record. Please provide a valid email address for the policyholder or upload a valid release letter. Click here to view a sample release letter.

    OR provide a valid email address below










      SLIC policy numbers begin with SRZ... or WC00...