Apmsgfwd.exe is indeed associated with the Alps touchpad driver, primarily handling communication tasks between the device drivers and your touchpad hardware. It's not essential for Windows 10 to operate, but it is crucial for the full functionality and customization features of your Alps touchpad such as gesture controls.
Disabling apmsgfwd.exe might lead to basic touchpad functions still working (like pointer movement and clicking), but you could lose out on multi-finger gestures or specific custom settings provided by the Alps utility. If you're looking to optimize system resources, consider adjusting its startup impact rather than completely disabling it. You can manage this through the Task Manager by setting its startup type to 'Disabled' under the 'Startup' tab. This way, you can easily enable it again if you find that the touchpad functionality is too limited without it.