Loss Run Request

Please complete all fields of the form below, where applicable. Complete information will help us to better assist you!

Loss Run Request

Name of Requestor

First Name

Last Name

Requestor Email

Requested on behalf of:

Agency/Broker

Insured

Agency/Broker Name

The name of the agency or broker as it was registered with Hallmark Financial Services.

Agency/Broker Number

The unique number assigned to the agency/broker or record by Hallmark Financial Services.

Insured Name

Name of the individual or business listed as the primary insured on the policy.

Policy #

The base policy number assigned to the insured, do not include the term identifier.

Policy Zip Code

The zip code of the policy mailing address.

Workflow Selection

Automated

Manual

* Automated processes immediately, Manual can take up to 5 days to complete.

Process Notice

Loss Run requests are provided at the sole discretion of Hallmark Financial Services.  Information provided is intended for the limited purpose of the evaluation of insurance rating and underwriting, and are not intended for distribution to parties other than those approved to request them (Agency/Broker of Record or Insureds).  A request is evaluated and verified against policy details, and if those details are confirmed an email will be returned to the requestor containing the Loss Run detail.  Note that all details provided in loss runs is limited to events within the last five years of the date of request.  If results are not returned in the automated workflow, select Manual for additional review.  For more information or assistance please use our "Contact Us" form.

If you are human, leave this field blank.

Loss Run Request

Become appointed with Hallmark