Aflac Accident Form. Please provide a date and complete description of your accident. Claims department • worldwide headquarters • 1932 wynnton road • columbus, ga 31999 for.
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Web file a claim checklist for our policyholders. You can provide this information in the designated space on the claim. 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. Occurrence investigated by the police. Web accident wellness benefit claim form. Web medical screenings such as physicals, dental exams and eye exams. _____ describe how the accident happened: Learn which items are required to use aflac's smartclaim system to file a claim. Use get form or simply click on the template preview to open it in the editor. Web i, the undersigned policyholder, agree that by signing below i am submitting an application to aflac for the reinstatement of and/or addition(s) to my policy.
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