Welcome

To file a new case, please ensure:

  • Your AR1 or NF10 is completed in its entirety with signature attached.
  • The AR1 form contains a valid claim and/or policy number.
Enter Case Details

Important Filing Instructions

  • If the company name is not listed, select New Company.
  • Multiple Medical Providers, Carriers, and TPAs may be added.
  • Please list the company names in the same order as they appear on the uploaded PDF.

Attach Document (required)

You must select the file.

Please submit one PDF per case filing not to exceed 64 MB in size.

If you require immediate assistance, please email the Intake Supervisors at NYSIIntakeSups@adr.org between the hours of 8:00 AM- 5:00 PM Eastern Time Monday to Friday.

Forms & Documents