Aflac Short Term Disability Claim Form
Download aflac short term disability claim form also known as aflac initial disability claim form. New claim form pdfs for web s13270 author. Pin On Tbi Is a required field. Aflac short term disability claim form . This form is used to file a claim for short term disability. Aflac group disability claim form 2020. Short term disability claim form. Ages 18 49 employed full time at the time disability began 2 000 monthly disability benefit amount 40 000 annual salary elimination period 0 7 days 3 month benefit period benefits based on. New claim form pdfs for web s00224 author. Please use the claim appeal form to organize your request. If disability is later determined to be for a longer term there will be follow up forms required at that time. Phone 800 433 3036 fax 866 849 2970. Aflac claims appeals po box 84065 columbus ga 31908 9998. Forms are to be completed on or after disability date to avoid processing delays policy holder s name. Short term disabil