aflac disability form
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Aflac promised to be here when you need us most - and a big part of that promise is making the claims process easy. 0000000686 00000 n endobj << <> 0000043507 00000 n stream 93^8SlqmQZ!1De"\u*GfeLd;np?nPWYSd67)d]ch=uD%XiFi:dZhC'MhDK8OlZ2*YHmB.O$)Wh[*"R,,
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Please provide a date and complete description of your accident. 2@Aq[=+(TD3oRc#`>K/0ZNjU%/:30? O!61!%9G.V^/"+$60K[1j:%8%V^jr#WgA)E0dmgaHYP)uTIcfaXm(sZ9L'dZ;nA@OpWjJ1,O,)*$t/$<
0 27 0;p5g%:Gd\>Io0dB\q^f8G>h/i$&$eAg8lGgN!bHFN/%]=BXD&^?mb,/u7t)rbDTL)pZ8Q"RdB*(8=i? You can now make your claim online by accessing your online account. "k&*mXEOTDY;
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nBr?OjbmGB*-+c"Gfs=pq`pf\5/qG=9-4ag[=%5G2c]U@?7%qhqm. /I1 14 0 R /P0 15 0 R /P1 16 0 R /P2 17 0 R Select the Get form button to open the document and move to editing. 0000054923 00000 n Aflac, excluding psychotherapy notes, and including, but not limited to, . 01Kfu^/nVO+L(Jdq73kWrp8S-B^0`qh,U[o.OS(9*S//rm]sB[#0$Ikq. %+7qEQTFU"'i_\(/=gq+JNS@%Y-$pZB>:Y4*(rCZfQj@Kgqq^GWEccM#up\R$:Ie]Cf@mqFQ&(pWqBMr
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0000054624 00000 n No Yes Ifyes,pleasecompletethefollowingquestionsrelatedtotheinjury . 29Q-bd"lOXj_`+YYr:EA4
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Please provide all information requested on the Insured's Statement portion of the claim form. /Type /Font stream endstream We built our online claims process to save you time and to help give you peace of mind. <> >> 0000037564 00000 n m);lB2NZG/rMHahB@? 0000043584 00000 n %+7qEQTFU"'i_\(/=gq+JNS@%Y-$pZB>:Y4*(rCZfQj@Kgqq^GWEccM#up\R$:Ie]Cf@mqFQ&(pWqBMr
EMnIpA`\`j9p%8Jb%g?3bB@@W^$A.t>R)@AV[$Gr+1aic5NY;`=A9#XB->:2MDO^@t[9!^9`hM)b9[&5Hfki>iJ2*idRMc*I1K7B)P.Ht.`'k-.R`,bZ1``cJ
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