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Get AFLAC CW061999 2014

Tion I have provided. POLICYHOLDER/PATIENT SIGNATURE CW061999 FAMILY RELATIONSHIP, IF NOT POLICYHOLDER DATE Page 2 of 2 American Family Life Assurance Company of Columbus (Aflac) ATTN: Claims Department • 1932 Wynnton Road • Columbus, GA 31999 For information or to check claim status, visit aflac.com or call 1-800-99-AFLAC (1-800-992-3522) Claims may be faxed to 1-877-44-AFLAC (1-877-442-3522) 02/14 .

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