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Please provide a date and complete description of your accident. Visit the aflac website ( www.aflac.com) and navigate to the “claims” section. Here, you can find and download the necessary claim forms. Patient’s name and date of birth.

Include The Date To The Record Using The Date Function.

Click on the sign icon and create a digital signature. Date and description of injury. Primary medical insurance eobs alone do not contain the required information to process a claim. • city state accidentalinjuryclaimform thankyoufortrustingaflacwithyouraccidentalinjuryneeds.

Identify Your Policy Policyholder’s Address.

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