For your convenience, our system can generate and send a letter on your behalf to the carrier(s) you name below in order to obtain your loss runs. By selecting this option, you authorize and appoint Innovative BPS LLC dba Pinecrest Innovative Insurance Agency to act on your behalf in sending this loss run request and to obtain insurance quotes for you. This form does not bind any coverage or create any obligations. You can revoke this authorization at any time by emailing pc-agency@innovativebps.com. The following message will be sent:
Please send me my company's complete loss history showing all claims experience, open and closed, across all applicable lines. If available, please send the detail in a CSV or XLSX format in addition to any available PDF reports.
Thank you,
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EIN: {federalEin}