Documents & Forms

New Customer Onboarding Forms

The quickest and easiest way to add a customer is through this portal. Click here to start adding a new customer.

Use the forms below to help gather the proper information from your customers. Please note that a hard copy of the monitoring agreement signed by the customer must be sent to Affiliated for each new account.

New Customer Information Form

Additional Customer Information Form

Opening & Closing Services Form

Medical Alert Customer Information Form

Affiliated Documents

Affiliated Auto Bill Pay (EFT) Authorization

Sign up online or Download the PDF

Portal & App Access

Portal Access Request

Contracts and Marketing Materials

Request materials here

Affiliated’s Certifications

Your customer may require copies of these certificates.

UL Certificate

TMA Five Diamond Certificate

Create a Certificate of Monitoring for a customer