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Get Aflac S00223CA 2008-2024

All documents. Failure to complete this form in its entirety may result in a delay in processing this claim. INSTRUCTIONS: Complete Section A: Policyholder/Patient Information and sign your claim form. Have the treating physician complete Section B: Physician's Statement and sign the claim form. If you are filing for disability, please complete the Initial Disability Claim Form (S00224) as well. Forms are available on our web site at aflac.com. Submit all bills related to this claim, such as ho.

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