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Loss run request letter generator

A signed request for each insurer you need loss runs from, prefilled from FMCSA. Recipient contacts come from insurers' official sites or from a licensed trucking agency's working list, and each is labelled (43 of 64 insurers have one so far); we never guess an address.

Insurer preselected: Oak River Insurance Company · how Oak River Insurance Company handles loss runs

1 · Your company

Legal name *

DBA

Street address

City, State ZIP

USDOT *MC/MX

2 · Insurers

One letter per insurer, each signed on its own. The policy number is required: it is how the insurer finds the losses. It is on the declarations page or the insurance ID card.

Agency-tested contact

Add the policy number for this insurer.

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3 · Request details & signature

Years of historyYour titleYour name *Email the loss runs to *Second email (optional)For example your agent's or agency's email.Fax for the loss runs (optional)

Phone (optional)Printed as the contact number if the company phone above is empty.

I am authorized to sign for the named insured and I have reviewed this letter.

Until you check this, the letter has a blank line to sign by hand.

Nothing you type here is sent to us — the letter and PDF are generated in your browser.

Still needed: company legal name, USDOT number (digits), your name, a valid email for the loss runs, the policy number for Oak River Insurance Company.

Open in my email app → (attach the signed PDF)

[Insured legal name]

USDOT # [USDOT #]

LOSS RUNS REQUEST

TO: OAK RIVER INSURANCE COMPANY

Email: BHServices@bhhc.com

Please forward to me a currently valued record of losses paid/incurred for the following policies:

Policy Number(s): [POLICY NUMBER REQUIRED]

I would like this information for the policy years 2021-2026. Please show the losses by policy and by year, including liability, cargo and physical damage. If there were no losses, please confirm "no losses" in writing.

I will need this information as soon as possible. Please let me know if you have any questions.

Please FAX or EMAIL this information to:

EMAIL: [Email]

I am an authorized representative of the named insured and authorize Oak River Insurance Company to release this information to the contacts above.

Signature:
Print Name:: [Your name]
Title:: Owner
Date:: October 9, 2026

Insurance agents: you can use this generator for your clients. Have the insured review and sign.