• MAF Physician Locator(current)
  • Report Fraud
  • Key Dates
  • Register
  • Home (current)
  • Forms
    Payment Claims Centralized Process for Representative Appointment Registration Other
  • Documents
    Reference Guides Governing Rules Published Decisions Court Special Master Settlement Agreement Norming Agreement (1-3-22) Court Filings Court Orders & Opinions Status Reports Other Court Filings Alerts Newsletters Class Notice Materials Opt Out Information
  • FAQs
    View All FAQsBasic InformationSettlement Agreement Benefits - General InformationRegistrationBaseline Assessment ProgramMonetary AwardsRepresentative ClaimantsDerivative ClaimantsLawyersPetitions for Deviation from Fee CapLiens - Information for Settlement Class MembersLiens - Information for LienholdersPaymentsAuditBankruptcyAppealsExternal EvidenceSpecial Master Appeal DecisionsNorming Agreement
  • Reports & Statistics
  • Contact & Help
  • Login

Other Forms

Centralized Process for
Representative Appointment

Authorization for Release of Claims Information (Appendix A)
Request for Change in Representation Status
BAP HIPAA Form
Substitution of Representative Claimant Form
Withdrawal of Attorney's Lien Dispute Form

Authorization for Release of Claims Information (Appendix A)

Request for Change in Representation Status

BAP HIPAA Form

Substitution of Representative Claimant Form

Withdrawal of Attorney's Lien Dispute Form

Most Viewed Forms

Claim Form for Retired NFL Football Players and Representative Claimants

Pre-Effective Date Diagnosing Physician Certification Form

MAF Diagnosing Physician Certification Form

Authorization for Release of Claims Information (Appendix A)

Employment History and Social and Community Activity of Retired NFL Football Player (Form for Use by Retired Player)

Employment History and Social and Community Activity of Retired NFL Football Player (Form for Use by Knowledgeable Informant)

BAP HIPAA Form

 

Having trouble opening documents?

Make sure the pop-up blockers are turned off on your internet browser. Some of the documents are large and could take a few moments to open. If they still will not open after those steps, email us or call 1-855-887-3485.