Administratrative Forms
Important Note: AF does not accept content changes to the forms. If signed electronically, the digital signature(s) must be backed by a digital certificate (e.g., Adobe Sign or DocuSign).
Security Administrators Form
Security administrators have a user designation that allows them to add, modify, and remove business units and users for their company. Regardless of the business unit to which they are assigned, administrators can control business units and users for the entire company. Security administrators can also specify company preferences related to their company's participation in AF's programs.
Global Authorization Form
Each member company must provide a global email address to which AF will send its notifications. Only an authorized officer of the member company may approve the process.
For Members Using Third-Party Administrators (TPAs)
We set up TPAs with their own company code and dedicated security administrator. Should you wish to have a TPA file on your behalf, both a TPA Consent Form and a TPA Access Agreement must be completed.
Important Note: The consent form, access agreement, and removal form MUST be signed by a corporate officer, senior level executive, or an individual that has the authority to bind the organization to a nationwide contract and not be case specific. If signed electronically, the digital signature(s) must be backed by a digital certificate (e.g., Adobe Sign or DocuSign). Upon receiving the correct documentation, TPA documents are processed in 3 business days in most cases.
TPA Consent Form
The consent form must be
signed and submitted by the member company to authorize AF to web-enable a third-party administrator and grant access to the member’s cases on AF’s website. Please use the following link to submit the form:
Submit TPA Consent Form.
TPA Access Agreement
The access agreement must be
signed and submitted by the TPA company agreeing to access the Services provided by AF, as limited by the
Terms of Use and only on behalf of each member expressly granting the TPA authority in writing. Please use the following link to submit the agreement:
Submit TPA Access Agreement.
TPA Removal Form
The removal form must be
signed and submitted by the member company when requesting that a TPA's access to file and/or respond on the member’s behalf be removed. Please submit the TPA Removal Form in the
Member Support Portal.