Excess Work Comp TPA Form

If you are applying to become a Claims Third Party Administrator partner with AmTrust, please fill out the attached information:

An NDA is required to do business with AmTrust. If your entity currently does not have an NDA in place with AmTrust, please provide the following information:

AmTrust uses OneTrust as the software to complete our due diligence questionnaire. You will receive an email from AmTrust Financial Services- noreply@m.onetrust.com. This is not a phish, please click the link and fill out the questionnaire. In order to kick off the process, we need the following information: