Claim Request

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  • CLAIM REQUEST

    Please complete the following application and submit to King Asphalt, Inc. Applications can be submitted online, in person at the office, mailed, faxed, or emailed.

  • By signing this document, I attest that it is a true account of the above described incident.

  • Instructions & Additional Information

  • Completing the Claim Request;

    • Claim Requests can be found on the King Asphalt, Inc. website (www.kingasphaltinc.com). Additional copies may be requested at the main office.
    • All Claim Requests must be completed to begin the claims process. Any incomplete forms will be returned for completion.
    • All claims must be made within five (5) days of the incident.
    • Within four (4) business days of submitting the complete Claim Request, you will be contacted by a representative of King Asphalt, Inc.
    • If you have not been contacted by a representative of King Asphalt, Inc. within four (4) business days of submitting the request, please call the main office at (864) 855-0338 for assistance.

    Submitting the Claim Request;

    • Claim Requests shall be submitted to the Main Office

    • Deliver: 2127 Greenville Highway, Liberty SC 29657
    • Mail: Attn: Claims Reporting, P.O. Box 179, Liberty SC 29657
    • Fax: Attn: Claim Reporting, (864) 843-2147
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