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Get AAA ALAN-12776-78-XX 2020-2024

Aim form as required. Additional documentation may be requested as necessary for the evaluation of this claim. If you have any questions, please call our Claims Department toll-free at 1-800-624-1662 and follow the prompts for Claims. Acceptance of this form is not an admission of liability under the certificate/policy. Send this Claim Form to: AAA Life Insurance Company Claims Department 17900 N. Laurel Park Dr. Livonia, MI 48152-3985 (800) 624-1662 Payment of Claims Authorization I declare.

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