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Aflac Printable Claim Forms
Additional treatment date should be on a • Do not attach receipts, statements or other separate claim form. documentation to this form. • Claims for all other benefits covered under this policy should be filed separately. • Use blue or black ink only Policy Number: Policyholder Information: First Name: Last Name: M M D D Y Y Y Y Policyholder Birth Date: Patient Information: Middle Initial: Patient First Name: Sex: Patient Last...Show details
Handy tips for filling out Aflac Printable Claim Forms online
Quick steps to complete and e-sign Aflac Printable Claim Forms online:
- Use Get Form or simply click on the template preview to open it in the editor.
- Start completing the fillable fields and carefully type in required information.
- Use the Cross or Check marks in the top toolbar to select your answers in the list boxes.
- Utilize the Circle icon for other Yes/No questions.
- Look through the document several times and make sure that all fields are completed with the correct information.
- Insert the current Date with the corresponding icon.
- Add a legally-binding e-signature. Go to Sign -> Add New Signature and select the option you prefer: type, draw, or upload an image of your handwritten signature and place it where you need it.
- Finish filling out the form with the Done button.
- Download your copy, save it to the cloud, print it, or share it right from the editor.
- Check the Help section and contact our Support team if you run into any issues when using the editor.
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