Authorization of Individual/Professional Services Form (AIS/APS)
The title of the web form has been changed from APS (Authorization of Professional Services) to AIS (Authorization of Individual Services), but the manual/paper form retains the APS designation. The electronic document ID authorizing these services is referred to as a PBS document.
Please complete both forms linked below:
If you need additional information contact:
* With an interactive PDF, you can type the required information directly on to the form and then print it and mail it. You can NOT save it without the full version of Adobe Acrobat.