Aflac Continuing Disability Form. *last name *first name *date of birth (mm/dd/yy) / / *sex: No yes is disability due to an injury?
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Claims department • worldwide headquarters • 1932 wynnton road • columbus, ga 31999 failure to complete this form in its entirety may result in a delay in processing this claim. You can also download it, export it or print it out. No yes • if yes, please complete the following questions related to the injury: • date of the injury: Web complete aflac continuing disability form online with us legal forms. Save or instantly send your ready documents. If this is a disability product with your policy number beginning with afl, please use the form below. Web complete aflac continuing disability form 2019 online with us legal forms. Web life claim forms for the state of illinois must be obtained by contacting aflac worldwide headquarters at 800.992.3522 to have the appropriate forms sent to you. Web short term disability claim form instructions continental american insurance company post office box 84075 * columbus, ga.
Our customer service representatives are here to assist you monday. If this is a disability product with your policy number beginning with afl, please use the form below. • date of the injury: *last name *first name *date of birth (mm/dd/yy) / / *sex: No yes is disability due to an injury? No yes • if yes, please complete the following questions related to the injury: Web send aflac continuing disability via email, link, or fax. Our customer service representatives are here to assist you monday. Save or instantly send your ready documents. Short term disability/long term disability claim form You can also download it, export it or print it out.
