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2 3 X 6 1 2 X 1 4 X

2 3 X 6 1 2 X 1 4 X

2 3 X 6 1 2 X 1 4 X

For information or to check claim status visit aflac or call 1 800 99 AFLAC 1 800 992 3522 Claims may be faxed to 1 877 44 AFLAC 1 877 442 3522 Aflac Group Wellness Claim Form_2020. WELLNESS AND HEALTH SCREENING CLAIM ... Policy/Certificate Holder's First Name (Print): Policy/Certificate ...

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168165469

2 3 X 6 1 2 X 1 4 XClaims for all other benefits covered under this policy must be filed separately using the claim forms available at aflac.com or by calling 1-800-99-AFLAC. (1- ... Wellness Form specifically tailored for your policy Please use black or blue ink only and print legibly when completing this form in its entirety Keep a

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Wellness and health screening claim form

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189561396

AFLAC Accident or Injury Claim FormAFLAC Accident Wellness FormAFLAC Cancer Claim FormAFLAC Cancer Wellness FormAFLAC Continuing Disability Download Envelope Template 09 Envelope Template Printable Envelope

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SOLIDEAL PON 555 SMOOTH Bearcat

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09211997

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3X3 Printable Labels

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Download Envelope Template 09 Envelope Template Printable Envelope

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GI REDUCER SOCKET 2 1 2 X 1 1 4

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A4 Paper Chart