If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email firstname.lastname@example.org.
Please tell us what format you need. It will help us if you say what assistive technology you use.
This form is used by an ATF to set up a pre-funded account (PFA). Once you’ve been approved to operate an ATF, you must set up a PFA and will need a separate one for each of your ATF sites.