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Please use black or blue ink only and print legibly when completing this form in its entirety. Please print a separate form for. Web to receive your wellness benefit, complete the form by following the instructions provided. Web post office box 84075 * columbus, ga. Web post office box 84075 * columbus, ga.
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Web post office box 84075 * columbus, ga. Web to get started, select your state and download a claim form. To file your claim via fax or mail, simply download the. Please use black or blue ink only and print legibly when completing this form in its entirety. Web to receive your wellness benefit, complete the form by following the.
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Web to get started, select your state and download a claim form. To file your claim via fax or mail, simply download the. Please print a separate form for. Aflac is here to help.
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Web to receive your wellness benefit, complete the form by following the instructions provided. Web post office box 84075 * columbus, ga. If you are filing for a health screening on your hospital indemnity, accident, or. Web file a wellness benefit claim.