Forms

To ensure everyone’s safety during COVID-19, our office is closed to walk-in visitors until further notice. As such, we’re currently not accepting in-person claim form drop-offs. Please follow the instructions on your form for other submission methods or if applicable, submit your claim through My ASEBP or the My ASEBP Mobile App.
 

Search for the form you're looking for by form type or select one from the links. Either way, the form you need is just a click away!

To ensure you're able to submit forms easily to us or your employer, we've made some of our forms fillable. If you see "fillable" written after a form name below, you guessed it—that means it's fillable!

While some forms you'll be able to complete and submit fully electronically, others may still require a physical signature, so be sure to read the instructions for each.