Claim forms

Get your benefits moving with the right claim documents. Choose a category below to find and download the appropriate forms for your specific coverage.

Individual Supplemental Insurance

Download a claim form

Claim Forms

Claim forms are state specific. Choose the policy holder's state of residence to select the appropriate forms. Then, submit your claim via fax or mail.

Fax: 877.442.3522

Mail: Aflac, 1932 Wynnton Road, Columbus, GA 31999

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Appeal a claim

Please use the claim appeal form to submit your request. Please be sure to explain why you disagree with Aflac's decision, and include any additional supporting documentation.

You have the right to appeal a decision up to a maximum of three times per claim. All appeals must be submitted within 180 days of the original decision.

Claim Appeal Form:

Form Pdf IconClaim Appeal Form

Fax: 888.659.1023

Mail: Aflac Claims Appeals, PO Box 84065, Columbus, GA 31908-9998

Claims Checklist

For step-by-step tutorials on filing an online claim, please see our claims checklists.