AF Form 784: USAF NAF Workers’ Compensation Record

AF Form 784: USAF NAF Workers’ Compensation Record – If you are a Nonappropriated Fund (NAF) employee working for the United States Air Force (USAF), understanding workers’ compensation is essential for protecting your rights after a work-related injury or illness. AF Form 784, officially titled USAF Nonappropriated Fund Workers’ Compensation Record, serves as a key internal Air Force document in managing these claims.

This article explains what AF Form 784 is, its purpose, who uses it, how it fits into the broader NAF workers’ compensation process, and where to download the latest version. Information is based on official U.S. Air Force publications and Department of Defense/Department of Labor guidance as of 2026.

What Is AF Form 784?

AF Form 784 is an official U.S. Air Force form used specifically for Nonappropriated Fund (NAF) civilian employees. It functions as a workers’ compensation record to document and track claims for injuries or occupational illnesses that occur in the course of employment.

The form was last released or updated around December 2022 (with references in 2023 publications), and it remains the current version for USAF NAF personnel. It helps Human Resources offices, supervisors, and the Air Force Services Center’s Workers’ Compensation Branch maintain accurate records of claims processing, payments, and related actions.

Important Note: NAF employees are not covered under the Federal Employees’ Compensation Act (FECA). Instead, their benefits fall under the Longshore and Harbor Workers’ Compensation Act (LHWCA), extended to NAF instrumentalities by the Nonappropriated Fund Instrumentalities Act (NAFIA) of 1952 (5 U.S.C. §§ 8171-8173).

Who Uses AF Form 784?

  • NAF Employees at USAF installations (e.g., morale, welfare, and recreation activities, child development centers, golf courses, clubs, and other NAF-funded operations).
  • NAF Human Resources Offices (HRO) — Primary users for initiating, tracking, and submitting claims.
  • Supervisors — Report injuries and assist with documentation.
  • NAF Accounting Offices — Handle payment-related aspects.
  • Air Force Services Center Workers’ Compensation Branch — Oversees program administration and coordinates with the Department of Labor (DOL).

The form does not apply to:

  • Appropriated Fund (APF) civilian employees (who use FECA).
  • Uniformed military members.
  • Army and Air Force Exchange Service (AAFES) employees in some cases.
  • Contractors or private organization employees.

Purpose of AF Form 784 in the NAF Workers’ Compensation Process

NAF workers’ compensation programs are self-insured and self-administered by the Department of Defense but regulated by the U.S. Department of Labor under the LHWCA. The program provides benefits for medical expenses, wage loss (disability compensation), and other authorized support following a job-related injury or illness.

AF Form 784 serves as an internal USAF tracking and record-keeping tool within this framework. It complements standard DOL forms (such as LS-1 for medical authorization or LS-201 for notice of injury) by providing Air Force-specific documentation for claims administration, proof of benefits paid, and coordination between local HROs and higher-level oversight.

Key elements typically documented on or associated with AF Form 784 include employee details, injury information, claim status, and administrative notes. It supports timely processing so employees receive entitled benefits without unnecessary delays.

  1. Report Immediately — Notify your supervisor right away (ideally within 30 days for notice requirements under LHWCA). Delays can jeopardize benefits.
  2. Seek Medical Care — Your supervisor or HRO will typically provide authorization (e.g., Form LS-1). Preferred providers may include military treatment facilities, but you can often see a physician of choice.
  3. Complete Required Forms — This includes DOL Longshore forms and any internal Air Force documentation like AF Form 784.
  4. Submit to HRO — The servicing NAF Human Resources Office handles submission and coordination.
  5. Follow Up — Contact your local NAF HRO for status. For ongoing claims, the Air Force Services Center Workers’ Compensation Branch may become involved.

Always report the injury as an “industrial” or “on-the-job” injury when seeking treatment.

Download the Official AF Form 784

You can download the latest fillable PDF version directly from the official Air Force e-Publishing site:

→ Download AF Form 784 PDFhttps://static.e-publishing.af.mil/production/1/af_a1/form/af784/af784.pdf

Tip: Always use the version hosted on e-publishing.af.mil for the most current and compliant form. Third-party sites may host copies, but official sources ensure you have the authorized document.

Related guidance is available in AFMAN 34-302, Nonappropriated Fund Personnel Employee Benefit Plans (June 2023), which details Chapter 7 on NAF Workers’ Compensation Procedures, including responsibilities for HROs, accounting offices, and the Services Center.

Additional Resources for USAF NAF Workers’ Compensation

  • Department of Labor – Division of Longshore and Harbor Workers’ Compensation (DLHWC): Official LHWCA information and forms → dol.gov/owcp/dlhwc
  • DoD Civilian Personnel Advisory Service (DCPAS) NAF Workers’ Compensation Policy: Overview of the self-insured program.
  • Your Local NAF HRO: Best first point of contact for installation-specific guidance and assistance with AF Form 784.
  • AFMAN 34-302: Full manual on NAF benefits, including workers’ compensation.

Why This Matters for NAF Employees?

NAF positions support critical quality-of-life services on Air Force bases, yet their funding and benefits differ from traditional federal civil service roles. Knowing the correct process and forms — starting with AF Form 784 — helps ensure you receive proper medical care, wage replacement, and other benefits if injured on the job.

If you have suffered a work-related injury, do not hesitate to contact your supervisor and NAF Human Resources Office immediately. Early reporting and proper documentation protect both your health and your entitlements under the law.

For the most up-to-date instructions, refer directly to official Air Force publications and the Department of Labor. This guide is for informational purposes and is not a substitute for professional advice from your HRO or a qualified workers’ compensation representative.

Last updated based on sources current as of 2026. Always verify with official channels for your specific situation.