This is your Personal Aflac Claims Resource
If you can't find it here, go to:
www.aflac.com
Sickness or Injury Claim Forms to Download
Hurt in an Accident?
Accident Claim Form.pdf
Surgery or Hospitalization due to Sickness or Major Diagnostic Tests Not Missing Work?
Sickness Claim Form.pdf
Missed work due to Sickness or Injury?
Initial Disability Claim Form.pdf
Treated for Cancer?
Cancer.pdf
Eye Injury or Disease? Vision Claim Form.pdf
Already Received Disability and Need More?
Continuing Disability Claim Form.pdf
Wellness Claim Forms to Download
Physicians Visit Benefit Claim Form.pdf
Accident Wellness Benefit Claim Form.pdf
Cancer Screening Wellness.pdf
Vision Wellness.pdf
FAX ALL COMPLETED CLAIM PAPERWORK TO 616-669-6750