Get Aflac Continuing Disability Form 2019
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How to fill out the Aflac Continuing Disability Form 2019 online
Filing a continuing disability claim can feel overwhelming, but understanding the Aflac Continuing Disability Form 2019 is the first step toward securing the benefits you need. This guide provides clear, step-by-step instructions on how to complete the form efficiently online.
Follow the steps to fill out the form seamlessly.
- Click ‘Get Form’ button to access the Aflac Continuing Disability Form 2019. This will allow you to obtain the document and open it in your preferred online platform.
- Begin filling out the policy number and your personal information in the 'Policyholder Information' section. Ensure to complete all required fields marked with an asterisk (*), which include your last name, first name, date of birth, telephone number, home address, city, state, and zip code.
- In the 'Patient Information' section, input the patient’s last name, first name, date of birth, sex, and relationship to the policyholder. Make sure all required fields are filled in.
- Complete the Continuing Disability Checklist. Answer whether the disability is due to sickness or injury. If due to injury, provide additional details such as the date of the injury and how it occurred.
- Indicate if the patient was confined to a hospital due to this condition. If yes, include the hospital name and location.
- Proceed to fill out the Employer’s Statement section if applicable, providing necessary details about the employee, their employer, and their status of work during the disability.
- In the Physician’s Statement, include the attending physician's details, diagnosis information, treatment dates, and their recommendations regarding the patient's ability to return to work.
- Once all sections are complete, review the form for accuracy. Make sure that you have attached any required documentation that may support your claim.
- Finally, save your changes and download the filled form. You may also choose to print or share the form as necessary.
Complete your Aflac Continuing Disability Form 2019 online today for a smoother claims process.
You have a total of 90 days to file a claim with Aflac after the event occurs. To ensure a smooth process, gather all necessary forms and supporting documents beforehand, including the Aflac Continuing Disability Form 2019. Being proactive can help you avoid missing the deadline and ensure you receive your benefits without hassle.
Fill Aflac Continuing Disability Form 2019
Thank you for trusting Aflac with your Continuing Disability needs. Forms to File a Claim, Service Request Form, Accident Claim Form (Click Here to View Document), Beneficiary Life Claim Form (Click Here to View Document) Download a Claim Form. Claim forms are state specific. Your employer should complete and sign Section C: Employer's Disability Statement. •. Be sure to sign your claim form at the bottom of Page 1. INSTRUCTIONS:. Note: This form is for initial filing of a disability claim. If your disability is being extended, you will need to complete the listed Supplemental Claim form. The Continuing Disability Claim Form is designed to assist policyholders in submitting claims related to disability. The Continuing Disability Claim Form is designed to assist policyholders in submitting claims related to disability.
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