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What is needed to cancel a policy?
- Completed Acord Form 35 – Cancellation Request/Policy Release.
- Written notice that should include the effective date of cancellation and the reason for cancellation. The notice must be signed by an officer/owner of the policyholder.
- Or click here to complete the KEMI Policy Cancellation Request Form.
- Documents may be faxed to 1-859-425-7828, emailed to policy@kemi.com, or mailed to Kentucky Employers' Mutual Insurance, P.O. Box 12500, Lexington, KY 40583-2500.