INITIAL DISABILITY CLAIM FORM
American Family Life Assurance Company of Columbus (Aflac) ATTN: Claims Department• 1932 Wynnton Road• Columbus, GA 31999 For lnfomiaUon or to check clatm status, visit aflac.com or call 1-800-99-AF LAC (1 -800-992-3522) Claims may be faxed to 1-877-44-AFLAC (1-877-4-42-3522) Pa90 1 or J 02/14
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