Contingency Claim Form

Angler Contingency Claim Form

Personal and Boat Information

Name(Required)

Boat HIN(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Tournament Information

Tournament Name(Required)

Dates(Required)

Number of Boats(Required)

Tournament Location (City)(Required)

Tournament Location (State)(Required)

Lake(Required)

Tournament Website(Required)

Director(Required)

Director Phone(Required)

Director Email(Required)

Director Signature:(Required)

By signing here I certify that the contingency registered angler above fished the tournament in an iKon boat

Additional Documentation Required

For security purposes, please mail your W-9 to the address noted below. The rest of the information and backup documentation may be submitted through this form.

iKon Boats
Attn: Customer Service
260 Industrial Park Way
Madisonville, TN 37354

Official Results Verification(Required)

Max. file size: 50 MB.

This may be newsletter, magazine listing, website results printout, or original hard copy depicting iKon boat owner’s first place finish.

Boat Photo(Required)

Max. file size: 50 MB.

Photo of boat showing “Winners-Win” program decal on windshield or dash console.

Weigh-in Photo(Required)

Max. file size: 50 MB.

Photo at weigh-in showing iKon hat or shirt.

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