This looks like it removes additional guardrails put on by Microsoft, not native guardrails from OpenAi / Anthropic?
This is needed if you're going to be dealing with things like psychologists doing self-harm research or red-teaming or sensitive sexual content -- if you're working with any of that sort of stuff in a professional context and want to leverage OpenAI models on Azure, then that's the form that you fill out to get access to unfiltered models.
Note that I am not aware of this feature being offered for Anthropic models -- I've only seen it offered for OpenAI models (note that the documentation I linked is specifically in the "Azure OpenAI" category).