Report an Injury OLD

KESA

Policies with Effective Date of 12/31/2023 and Prior

Policyholders should file a Report of Injury (IA-1) within 3 days of your awareness of the incident. The report is an alert to Clearpath Specialty that a claim needs to be investigated. Submitting the report is not binding.

Options for Filing Your 1st Report of Injury

  • ONLINELOGIN to submit your 1st Report of Injury on our self-service portal
  • EMAIL: Send your completed form to firstreports@clearpathmutual.com
  • FAX: Send your completed form to (502) 894-0066.
  • PHONE: Call in your 1st Report of Injury to (502) 894-8484
KESA

Policies with Effective Date of 1/1/2024 and After

  • BY PHONE: Submit a NEW 1st Report of Injury 24/7 to 800-638-3669
  • BY EMAIL: Submit a NEW 1st Report of Injury via email to ClaimLine@HM1842.com

More information on claims handled through Harford Mutual Insurance Group can be found here

KESA

Include the Report of Injury Form