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Get and Sign Aflac Accidental Injury Claim Form 2008

Get and Sign Aflac Accidental Injury Claim Form 2008

Use a Aflac Accidental Injury Claim Form 2008 template to make your document workflow more streamlined.

From your health care provider(s) by requesting a UB04 (hospital bill) or HCFA1500 (nonhospital bill). If you are filing for disability, please complete the Initial Disability Claim Form (S00224). Forms are available on our web site at aflac.com. All bills should include the diagnosis, services rendered, and actual charges for the service. Policyholder Information (Please print.) Policy Number First Name Initial Last Name Mailing Address City State ZIP Check box if this is a new...
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