Search twitter facebook instagram linked in cart file arrow

You are in the right place! KESA is now ClearPath Mutual.

✕
  • Annual Report
  • ClearPath Crew
  • About
  • Contact
  • Login
Menu
  • Agents
  • Employers
  • Workers
  • SAFETY WORKS™
  • SAFETY WORKS™

Home / Agents / Forms

ClearPath Mutual

Make a payment, submit an application, report injuries, and more.

Login

SAFETY WORKS™

Access free employee safety training, education, and awareness resources.

Login
✕
Menu

  • Start An Application
  • Underwriting Guidelines
    • General Criteria
    • Submissions & Agent of Record
    • Min/Max Officer Information
    • Reinsurance & Employers’ Liability
    • Premium Billing Schedule
  • Underwriting Rates
  • Forms
  • FAQs

Forms

Click on links below for the following forms:

Commission Direct Deposit ACH Form

Concentration of Employees Form

 

close

Upcoming Seminars

ClearPath Mutual offers FREE safety seminars throughout the state. Look here for information on the next SAFETY WORKS™ seminar.

SAFETY WORKS™ Tips

Slips, trips and falls constitute the majority of general industry accidents and occur when we are in a hurry or are careless. Learn to recognize hazards such as wet floors, greasy surfaces and ice or snow.

Read More

The ClearPath Mutual Difference

You knew us as KESA, now we're ClearPath Mutual! Same great people. Same great company. New name.

Read More

ClearPath Mutual

  • 200 Executive Park
  • Louisville, KY 40207
  • (502) 894-8484
  • (800) 367-5372

© 2018 ClearPath Mutual and its licensors. All rights reserved. Privacy Statement | Terms & Conditions. Site by Net Tango