Submit your claim online 24/7. Manage your account, submit and track claims, setup direct deposit and more.

AFLAC - Accident or Injury Claim Form; AFLAC - Accident Wellness Form · AFLAC - Cancer Claim Form · AFLAC - Cancer Wellness Form · AFLAC - Continuing ...

File your claim online or via the MyAflac® mobile app. Managing your coverage has never been easier.

If you are interested in filing your claim online or uploading documentation on an existing claim, register using aflac.com/smartclaim.

Please note: The employer is required to report disability benefits paid on pre-tax plans on Form 941 and the employee's Form W-2.

If you choose to assign benefits, attach a signed and written request. ✓ Email form to groupclaimfiling@aflac.com or fax to 1.866.849.2970. Page 2 ...

FOR INFORMATION, CALL TOLL-FREE 1-800-99-AFLAC (1-800-992-3522) OR VISIT OUR WEBSITE AT WWW.AFLAC.COM. TOLL FREE FAX NUMBER 1-877-44AFLAC (1-877-442-3522).

Claims for all other benefits covered under this policy must be filed separately using the claim forms available at aflac.com or by calling 1-800-99-AFLAC. (1- ...

To receive your Wellness Benefit, complete the form by following the instructions provided. Please keep a copy of this completed form for your records. Claims ...

copy of the supporting documentation and this completed form for your records. Sign, date, and mail the completed form to the Aflac address shown below.