Aflac Continuing Disability Form. *last name *first name *date of birth (mm/dd/yy) / / *sex: If this is a disability product with your policy number beginning with afl, please use the form below.
Aflac Printable Claim Forms
If you disagree with a claims decision, you may submit an appeal citing supporting policy. *last name *first name *date of birth (mm/dd/yy) / / *sex: Web supplemental claim form (continuing disability) (please have completed for support of continued disability) claim number: Female primary policyholder spouse initialdisabilitychecklist is. If this is a disability product with your policy number beginning with afl, please use the form below.
*last name *first name *date of birth (mm/dd/yy) / / *sex: Female primary policyholder spouse initialdisabilitychecklist is. If this is a disability product with your policy number beginning with afl, please use the form below. *last name *first name *date of birth (mm/dd/yy) / / *sex: If you disagree with a claims decision, you may submit an appeal citing supporting policy. Web supplemental claim form (continuing disability) (please have completed for support of continued disability) claim number:
