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AMS Services | Customer Support | Fax to: 866.527.9451


Support Fax Request

If you are unable to use FOCUS or the Interactive Voice Response (IVR) system at 800.456.7895, complete this form and fax it to 866.527.9451. Please use this form to request customer support help using your product.

Agency Name: *
City, State: *
Customer #: *
Name of whom we should contact: *
Telephone Phone #: *
Email address:
Product (SELECT ONE):*
AMS 360/AMS 360 Online
AfW/AfW Online
AMS Prime
Sagitta/Sagitta Online
AMS Benefits
PS4 Plus
PathFinder Plus
Premier
Other:
Case # if this is an existing case:
Problem type from problem type list:
Question for Customer Support:*
*Required fields

AMS Services | Customer Support | Fax to: 866.527.9451
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