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File a Claim | Aflac /I1 14 0 R /P0 15 0 R /P1 16 0 R /P2 17 0 R !ncB:\VKdEm`qT:*N=[JNN2d(=N=eQCP0@YV._+qhu3A\"7SbVdlGbB#r@F8W,NFT7X_+Li_!4M/4=!o
Direct to Consumer individual coverage underwritten by Tier One Insurance Company. <>stream How Does Short-Term Disability Work? | Aflac _0kQ98&!$i3)qj(aoD$GE4ichZTh10fLUX?o`T)Tp(DKE$D,A)o)nXcqGjE4Kf$SW?d(38p]9$)m%!a_
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Then, follow the simple steps below to begin the claim process. Aflac promised to be here when you need us most - and a big part of that promise is making the claims process easy. 0000043507 00000 n XL9IY_,^5e)u%m(QSW8`,Ms+JJ"IKSqK)]ClhR1"S67]3AnXNZbU5t!S#5jg;<=EaA8%\YmR9]u3\kc^
Please complete the Patient section, Boxes 818, as well as the Policyholder/Employee section (excluding Boxes 3138 and 40.) 0000035380 00000 n TNMF9_Vr2,SFTeXfUSJa)jt-'"mb39a6fe"7:L*nQB6WHc=tGuKXhdlF@JojFLBR3CIdNL;Gs\omg&R3
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PDF New Claim Form PDFs for WEB - S13270 - Aflac
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