Printable Aflac Wellness Claim Form

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Keep a copy of the supporting documentation and this completed form for your records. Web file a claim checklist for our policyholders. Once completed you can sign your fillable form or send for signing. Cw061999 page 1 of 2 02/14 You can sign up using either your aflac insurance policy number or alternate personal information, so don’t worry if you can’t find it! Learn which items are required to use aflac's smartclaim system to file a claim. Are you still trying to find a quick and convenient solution to complete aflac wellness claim form at a reasonable price? Claims for all other benefits covered under. Post office box 84075 * columbus, ga. Policyholder signature date american family life assurance company of columbus (aflac) attn:

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Aflac Wellness Claim Form Printable

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Web please use black or blue ink only and print legibly when completing this form in its entirety. Web i certify that the information provided is true and correct: How to shield your aflac accident benefit form when doing it online? Before filing a claim, make sure you register online by creating a myaflac® account. Follow the simple instructions below:

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Web i certify that the information provided is true and correct: Cw061999 page 1 of 2 02/14 Aflac provides supplemental insurance for individuals and groups to help pay benefits major medical doesn't cover. Save or instantly send your ready documents.

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