Access Request Forms

Group Online Access Form (Key User) PDF 
Use this form to request access to the employer portal and authorize a staff member within your organization to act as a Key User

Broker/Third Party Online Access Form (Key User) PDF 
Use this form to authorize a Broker, Consultant or Third Party Administrator to access the employer portal, on behalf of your group.

ASC Add Form for Claims & Billing 
You can add a new recipient or replace an existing recipient of the ASC Claims Billing Report with this online form.