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Request a Loss History Report

Please provide your information. All fields are required. Personal Information Use

Using a recent bill, enter the first 15 digits of the policy number, including the dashes. Example: 103-1234567890-03

Check at least one. For security reasons, loss history information can only be sent to contacts already listed on the policy.

We will only contact you if there is a question on your request; otherwise the report will be sent to the email address listed on the policy.