Supplier Alignment Authorization Form - Contract #
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The purpose of the Alignment Authorization Form (AAF) is to document the Member's intent to align to an E&I contract, and to ensure successful alignment after submission. The AAF may be completed only by representatives of E&I member institutions. To determine whether your institution is a member, visit our Member Locator. To join E&I, complete a Membership Application.

This alignment request, if completed, will supersede any previous Member declarations for the purchase of products and/or services from supplier, unless otherwise specified, and will remain in effect during the term of the Agreement between E&I and supplier, including any renewals and extensions, unless the Member chooses to discontinue their alignment. Once submitted and alignment is complete, all Member purchases with supplier will be credited to E&I and the Member.

After submitting this AAF, you will be prompted to complete a Participant Customization Form (PCF), which is required to select your insurance program. Alignment cannot be completed until both the AAF and the PCF are submitted. Based on the PCF date of receipt, a unique account number(s) with an effective date of the 1st or 15th of the month will be issued.

Member will be contacted by an supplier local representative that will assist in implementing the new program. E&I will also follow-up to ensure successful enrollment.

If you have any questions about this form or alignment, please contact your Member Success Manager using our Find my Rep tool
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