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Get Aflac S00223 2008

Ician'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 hospital, surgery, etc. All bills should include the diagnosis, services rendered, and actual charges for the service. If hospitalized and/or confined to an intensive care unit, please send a copy of your hospital bill showing charges and the number of days.

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