AFLAC Initial or Continuing Claim Form Submission

Please complete all fields to ensure prompt completion of your request.


YOU MUST INCLUDE COMPLETED PHYSICIAN STATEMENT and YOUR CLAIM STATEMENT.


AFLAC Blank Initial Claim Forms:

https://apidocs.aflac.com/docs/claimforms/s00224.pdf


AFLAC Blank Continuing Claim Forms:

https://apidocs.aflac.com/docs/claimforms/s13270.pdf

If you are no longer with the district please the last 4 digits of your social security number

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You must attach COMPLETED PHYSICIAN STATEMENT and YOUR CLAIM STATEMENT.

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