Aflac New York Forms

 
These Forms Are Specific To New York Policies.
Please Contact Us Directly If You Need Claims Forms From Another State.

Accident Claim

Click the image above to view a PDF file of the form.

Cancer Claim

Click the image above to view a PDF file of the form.

Disability Initial Claim

Click the image above to view a PDF file of the form.

Accident Check List

Click the image above to view a PDF file of the form.

Cancer Screening

Click the image above to view a PDF file of the form.

Disability Ongoing

Click the image above to view a PDF file of the form.

Specified Health Event

Critical Illness Rider 

Click the image above to view a PDF file of the form.

Cancer Wellness

Click the image above to view a PDF file of the form.

Disability Statistics

Click the image above to view a PDF file of the form.

Dental Claim

Click the image above to view a PDF file of the form.

Hospital Claim

Click the image above to view a PDF file of the form.

Hospital Claim Physician Visit

Click the image above to view a PDF file of the form.

Wellness Claim

Click the image above to view a PDF file of the form.

Life Insurance Claim

Beneficiary Statement of Death

Click the image above to view a PDF file of the form.

© 2020 by Don't Sweat Life, Inc.