ACORD 611 is the Claims History / Loss Run Request. It gives an insurer or other record holder a structured request for specified policy loss information and documents the insured's authorization to release it. The request is not itself a loss run and does not guarantee when records will arrive.
What is ACORD 611 used for?
Businesses commonly need loss runs when marketing insurance, reviewing claim trends, or changing brokers. The companion guide on how to read loss runs explains how paid amounts and reserves fit together. ACORD 611 standardizes the request rather than the carrier's response. The forms index identifies it as the Claims History / Loss Run Request.[1]
What should the request identify?
List the named insured accurately, the agency and receiving contact, each insurer, the relevant policy number, and the lines and years requested. If the business changed names or entities, explain which records belong in scope. State whether the recipient needs valued loss runs as of a particular date and whether open and closed claims, reserves, paid amounts, and claim descriptions are required.
A vague request for “all losses” can produce an incomplete response. Compare the returned periods with old declarations, audit records, or a policy schedule so that a missing carrier or year is visible.
Who can authorize release?
The insurer or administrator may require a signature from the named insured or another properly authorized person. Its identity-verification and privacy procedures still apply. An ACORD form does not override those requirements, and a broker cannot promise release when the record holder needs additional authority.
Is a loss run the same as a loss history statement?
Terminology varies. Focus on the contents and valuation date rather than the label. For underwriting, the recipient may need enough detail to distinguish no-loss periods from missing records and to understand open claims or material reserves.
Frequently asked questions
How many years of loss runs should I request?
Request the periods required by the insurer, contract, or transaction. Multi-year histories are common, but the correct span depends on the line and purpose.
What if a carrier reports no records?
Verify the insured name and policy identifiers, then ask whether the response means no losses, no matching policy, or unavailable records. Those outcomes are different.
The Bottom Line
ACORD 611 makes a loss-run request specific and auditable. Define the policies and valuation date, obtain proper authorization, and check the response for every requested period.
This guide is educational and describes ACORD 611 in original language. Menlo Insurance Services is not affiliated with ACORD Corporation. Record-holder requirements control.
References
- 1.ACORD. “ACORD Forms Index, revision 5/08/2024.” Accessed September 2026. https://acords.com/pdf/ACORD_Forms_Index.pdf ↩
- 2.ACORD. “Forms Portal.” Accessed September 2026. https://formsportal.acord.org/Home ↩