Any risk
Hedge Loss and Claims Supplement
A fillable Hedge supplement for organizing prior losses, claims, and open-claim detail for wholesale review.
View form and fillable PDF →Commercial insurance form reference
ACORD 611: Claims History and Loss Run Request.
Direct answer. A request form for claims history or loss runs. The resulting carrier-issued loss information, valuation date, coverage period, and open-claim detail matter more than the request form by itself.
Information organized
Facts to prepare.
- Correct named insured and policy numbers
- Carrier and policy periods
- Requested lines of business
- Authorization information
- Delivery contact and requested period
Quality control
Review before using the form.
- Request all relevant entities and policy periods
- Confirm loss runs are currently valued
- Explain material open, reserved, or recently closed claims separately
Edition and market boundary
The edition shown is the edition observed in the official index on the review date. Confirm the acceptable edition, jurisdiction, and related forms with the intended market. Hedge does not provide this ACORD file for download.
Related Hedge forms
Hedge-owned supplements that may add class detail.
These fillable Hedge resources can support preparation but do not replace a required ACORD or market-specific application.
Sources
Verify against the publisher.
Official source
ACORD Forms Index
Use the official source to confirm form availability, edition, jurisdiction, licensing, and related-form information.
Open official source →Official source
ACORD Forms Portal
Use the official source to confirm form availability, edition, jurisdiction, licensing, and related-form information.
Open official source →Official source
ACORD Forms Search Tools
Use the official source to confirm form availability, edition, jurisdiction, licensing, and related-form information.
Open official source →Next step
Assemble the account-specific packet.
Use the class submission guide to identify the underwriting facts and Hedge forms that may apply, then have Hedge confirm the intended market and route.