Aflac Printable Claim Forms
52 aflac forms and templates are collected for any of your needs.
Aflac printable claim forms. Please review your policy for specific benefits covered under your plan. Accident claim form failure to complete all sections may result in a delay in processing this claim. Covered under your policy must be filed separately using the appropriate claim form. New claim form pdfs for web s00198 author.
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. To prevent delays please provide documentation from your healthcare provider to support this claim. Our customer service representatives are here to assist you monday through friday 8 am. If your aflac policy also provides a mammogram benefit please mark the appropriate box and indicate the date the mammogram was performed.
Download fill in and print accidental injury claim form aflac pdf online here for free. View download and print s2029 hospital indemnity 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 check your policy for a list of covered wellness procedures or call 1 800 99 aflac 1 800 992 3522.
Phone 800 433 3036 fax 866 849 2970. To prevent processing delays please have claim form completed in full and return the signed hipaa. Post office box 84075 columbus ga. Accident claim form instructions.