Extract data from ACORD 611 (2015/07) - CLAIMS HISTORY / LOSS RUN REQUEST. Get data in JSON format to autofill another form, store in a database or convert to AL3 using WinsurTech solutions.
The ACORD 611 (2015/07) - Claims History / Loss Run Request form is used by policyholders, brokers, or insurers to request a detailed claims history, also known as a loss run, from an insurance carrier. This document outlines past claims associated with a specific policy, including dates, types, amounts, and statuses of each claim. Typically, this form is used for underwriting, policy renewal, or when changing insurance providers. It includes insured and policy information, the requestor's details, and authorization for the release of claims data. Accessing a complete claims history is essential for evaluating risk and determining premium requirements, especially in commercial insurance policies where past claims impact coverage decisions.