---

Range AFTAP

---

Fill in the fields below and press Generate Range AFTAP Form. The next page will allow you to download the Word document for you to take and affix your company logo. Or you can intergrate into your Excel to quickly send the inputs for generating notices. See Example Excel for how to link to your Excel.

Election Form Inputs

Plan Name

Plan Number

Year End

Plan Administrator

Plan Sponsor

Plan Actuary

Enrollment Number

Generate Range AFTAP Form

---