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