Aflac Life Insurance Beneficiary Change Form. Additionally, i agree to use the information and data contained within myaflac.com in accordance with all applicable. A pdf version of the appropriate claim form can be downloaded using adobe acrobat reader.
Aflac Voluntary Benefits Benefits from www.slideshare.net
Sign, date and mail the completed form to the address below or fax to 1.800.448.8922. Please print or type all information except signatures. • the beneficiary or beneficiaries of the policy/certificate from this date shall be as follows:
When Complete, Please Click Print.
Additionally, i agree to use the information and data contained within myaflac.com in accordance with all applicable. Request for beneficiary change please use blue or black ink only and print legibly when completing this form in its entirety. Beneficiary (last, first, m.l.) beneficiary type % relationship to insured date of birth
American Family Life Assurance Company Of Columbus
Beneficiary s statement to file a claim under an aflac life insurance or accident policy, please mail your completed beneficiary s statement. • the beneficiary or beneficiaries of the policy/certificate from this date shall be as follows: Request for beneficiary change please use blue or black ink only and print legibly when completing this form in its entirety.
The Above Change Forms Must Be Completed By The Policyholder Wishing To Make The Change.
By logging into myaflac.com, i acknowledge and agree that these terms, in addition to any other terms of confidentiality agreements and other agreements (the “agreements”) that i may have previously entered into with aflac will govern my use of myaflac.com. Change of name (please attach official documentation of the name change.). Request for life policy change/beneficiary change application to american family life assurance company of columbus (aflac) worldwide headquarters:
Please Read Through The Information And Fill Out The Form.
Sign online button or tick the preview image of the document. Sign, date and mail the completed form to the address below or fax to 1.888.694.1265. Complete proof of death beneficiarys statement to file a claim under an aflac life insurance or accident online with us legal forms.
New Owner Date Of Birth:
Select beneficiary change and click printable form. Aflac insurance service request form. Complete a separate request for each policy.
