Aflac Printable Claim Forms
52 aflac forms and templates are collected for any of your needs.
Aflac printable claim forms. Accidental injury claim form aflac is often used in aflac forms business forms and business. To prevent delays please provide documentation from your healthcare provider to support this claim. Accident claim form failure to complete all sections may result in a delay in processing this claim. Accident claim form instructions.
Please check your policy for a list of covered wellness procedures or call 1 800 99 aflac 1 800 992 3522. Download fill in and print accidental injury claim form aflac pdf online here for free. View download and print short term disability claim aflac pdf template or form online. Cancer screening wellness benefit claim form some of the tests listed may not be covered under the wellness benefit of your policy.
Please review your policy for specific benefits covered under your plan. New claim form pdfs for web s00198 author. Post office box 84075 columbus ga. Covered under your policy must be filed separately using the appropriate claim form.
52 aflac forms and templates are collected for any of your needs. If your aflac policy also provides a mammogram benefit please mark the appropriate box and indicate the date the mammogram was performed. To prevent processing delays please have claim form completed in full and return the signed hipaa. Life claim forms for the state of illinois must be obtained by contacting aflac worldwide headquarters at 8009923522 to have the appropriate forms sent to you.