Claim Reporting


In case there is a claim arise due to either employee work related injury, commercial liability, or property claims, we are facilitated you with the following claim forms to speed up to report a claim. Below are claim forms for Workers Compensation and Commercial Property & Liability Claim Forms.


Please click the following link for Workers Compensation Claim Forms:



Please click the following link for Commercial Insurance & Liability Claim Forms:





Please complete the form, together with any doctor’s treatment documents, invoices, police report, or related claim documents and fax or email to our office.


Our Fax Number is 510-832-7888

Our email is


Please write down your contact information so that insurance adjuster or our office can contact you for additional information;


Contact Name:

Phone number:

Email Address:


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The information, general principles and conclusions presented in this report are subject to local, state and federal laws and regulations, court cases and any revisions of same. While every care has been taken in the preparation of this report, KHL Financial & Insurance Services, Inc. is not engaged in providing legal, accounting, financial or other professional services. This report should not be used as a substitute for the professional advice of an attorney, accountant, or other qualified professional.









212 - 9TH STREET, SUITE #311 | OAKLAND, CA 94607
Phone 1-888-335-9888
Fax 510-832-7888

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