When filing a claim, the forms below can be requested from your physician and will help expedite your claims process.
Note: These forms are not needed for Wellness claims. Click below to view sample forms.
Life claim forms for the state of Illinois must be obtained by contacting Aflac Worldwide Headquarters at 800.992.3522 to have the appropriate forms sent to you. Our customer service representatives are here to assist you Monday through Friday from 8 a.m. until 8 p.m. Eastern time.