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2. www.aflacgroupinsurance.com › docs › customerCANCER CLAIM FORM INSTRUCTIONS

   www.aflacgroupinsurance.com › docs › customer

   Post Office Box 84075*Columbus, GA. 31993 Phone (800) 433-3036 * Fax (866) 849-2970 groupclaimfiling@aflac.com CANCER CLAIM FORM

   • File Size: 1MB

   • Page Count: 7

3. www.aflacgroupinsurance.com › docs › customerCRITICAL ILLNESS CLAIM FORM INSTRUCTIONS

   www.aflacgroupinsurance.com › docs › customer

   Post Office Box 84075 * Columbus, GA. 31993 Phone (800) 433-3036 * Fax (866) 849-2970 groupclaimfiling@aflac.com. CRITICAL ILLNESS CLAIM. FORM INSTRUCTIONS. To avoid delays in processing of your claim form, complete each section attaching documentation below when it applies. Supporting Documentation Needed.

   • File Size: 1MB

   • Page Count: 8

4. core-docs.s3.amazonaws.com › AFLAC_Claim4 - PDF Claimforms S00220

   core-docs.s3.amazonaws.com › AFLAC_Claim

   For information or help filing your claim, please call toll-free 1-800-99-AFLAC (1-800-992-3522) or visit our Web site at aflac.com. Toll-free fax number: 1-877-44-AFLAC (1-877-442-3522) PolicyholderInformation (Please print.) First Name Initial Last Name Mailing Address City State ZIP Check box if this is a new permanent address:

5. cms1files.revize.com › prowerscounty › documentCANCER WELLNESS BENEFIT CLAIM FORM - Revize

   cms1files.revize.com › prowerscounty › document

   Please keep a copy of this completed form for your records. Please print a separate form for each additional family member or call 1-800-99-AFLAC (1-800-992-3522) to request additional forms. Claims for all other benefits covered under this policy must be filed separately using the claim forms available at aflac.com or by calling 1-800-99-AFLAC

   • File Size: 326KB

   • Page Count: 2

6. api.aflac.com › docs › claimformsPDF forms for web - Aflac

   api.aflac.com › docs › claimforms

   DATE. CW061999 CO. Page 2 of 2 02/14. American Family Life Assurance Company of Columbus (Aflac) ATTN: Claims Department •1932 Wynnton Road •Columbus, GA 31999 For information or to check claim status, visit aflac.com or call 1-800-99-AFLAC (1-800-992-3522) Claims may be faxed to 1-877-44-AFLAC (1-877-442-3522)

   • File Size: 24KB

   • Page Count: 2

7. www.aflac.com › us › enAflac Benefit Services Claim Form

   www.aflac.com › us › en

   Please fax this signed and completed form to. For Customer Service, call 1-877-353-9487. 1-877-353-9256. 1. Participant Information and Signature. By submitting this claim form, I (participant named below) request reimbursement from my Flexible Spending Account(s) as listed below.

8. People also ask

   How do I file a claim with Aflac?

   • Fax this form to 1-877-442-3522 or return the form to Aflac, Attn: Claims Department, Worldwide Headquarters, 1932 Wynnton Road, Columbus, GA 31999, as soon as possible in order to expedite claim review. This authorization shall be valid for a period of two years from the sign date unless a lesser time frame is indicated. Alternate Expiration Date:

   AFLAC CANCER CLAIM FORM

   core-docs.s3.amazonaws.com/documents/asset/uploaded_file/1449679/AFLAC_Claim.pdf

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   Can I include receipts & statements with the Aflac claim form?

   • Do not include receipts, statements or other claim documentation with this form. Do not write on form except as instructed. Please sign, date and mail or fax the completed form to the Aflac address/fax number shown below. Please use black or blue ink only and print legibly when completing this form in its entirety.

   CANCER WELLNESS BENEFIT CLAIM FORM - Revize

   cms1files.revize.com/prowerscounty/document_center/Administration/Aflac_Cancer_Screening_Wellness_Claim_Form.pdf

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   How do I Check my Aflac Insurance claim status?

   • American Family Life Assurance Company of Columbus (Aflac) ATTN: Claims Department • 1932 Wynnton Road • Columbus, GA 31999 For information, call 1-800-99-AFLAC (1-800-992-3522) or visit aflac.com To check claim status Aflac’s Interactive Voice Response is available 24/7 at 1-877-353-9487 or visit aflac.com/smartclaim.

   CANCER WELLNESS BENEFIT CLAIM FORM - Revize

   cms1files.revize.com/prowerscounty/document_center/Administration/Aflac_Cancer_Screening_Wellness_Claim_Form.pdf

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   Does Aflac provide a wellness benefit?

   • Your Aflac policy provides a Wellness Benefit. To receive your Wellness Benefit, complete the form by following the instructions provided. Please check your policy for specific details on this benefit. Do not include receipts, statements or other claim documentation with this form. Do not write on form except as instructed.

   CANCER WELLNESS BENEFIT CLAIM FORM - Revize

   cms1files.revize.com/prowerscounty/document_center/Administration/Aflac_Cancer_Screening_Wellness_Claim_Form.pdf

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9. api.aflac.com › docs › claimformsNew Claim Form PDFs for WEB - S00224 - Aflac

   api.aflac.com › docs › claimforms

   PolicyholderInformation:This*denotesarequiredfield. *PolicyNumber: / / - --Anypersonwhoknowinglyandwithintenttoinjure,defraud,ordeceiveanyinsurerfilesastatementof