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Make an Assignment

Email us your assignment directly

If you would like to email your assignment please send it directly to claim@koning.us or click on the button below.

Email Us

To submit a new assignment online, simply fill out the form below, including the verification word and click on the SUBMIT button when completed.

Please provide as much information as possible to insure proper handling of your claim. Please note: Attachments can be added to the bottom of this form.

Examiner / Report To Name (required)

Claim # (required)

Company (required)

Policy #

Phone (required)

Date of loss

Email (required)

Address (required)

Suite #

City (required)

State (required)

Zip

Type of Claim Investigation

Commercial/Homeowner PropertyGeneral LiabilityProduct LiabilityAuto/Truck LiabilitySkip trace on individualAttend MediationMonitor TrialIn person recorded statementConstruction DefectWorkers Comp

Insured Name (required)

Phone

Address

City

State

Zip

Policy Deductible

Loss Location (required)

Description of Loss/Facts of Incident (required)

Claimant/Adverse Party Name:

City

Phone

Address

State

Zip

Additional Instructions

Upload Files (Acceptable file formats, .jpg, .doc, .pdf. Attachments have 20 MB limitation)

An email will be sent within two hours confirming receipt of this assignment