Choose your state of residence below, then select the claim form(s) you need.

  • Aflac New York policy holders in New York, New Jersey, Connecticut, and Massachusetts, please visit www.Aflacny.com
  • Formularios de Reclamaciones en espanol
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Submitting Claims

Completed claim forms (excluding FLEX ONE and TRANSIT ONE reimbursement forms) may be submitted by mail or fax to:

Aflac Worldwide Headquarters
ATTN: Claims Department
1932 Wynnton Road
Columbus, GA 31999-7251
Fax: 1-877-44-Aflac (1-877-442-3522)
Not sure how to file? Get detailed instructions on expediting your claim.

Reimbursement Forms

Flex one (PDF Format)
Transit one (PDF Format)