Colonial life wellness claim form 2026

1. Click ‘Get Form’ to open the Colonial Life Wellness Claim Form in the editor.
2. Begin by filling out Section 1, the Claimant Statement. Enter your name, date of birth, and Social Security number. Indicate your relationship to the policy owner.
3. Complete the Policy Owner Information section if it differs from the claimant. Provide their name, date of birth, address, email, and contact number.
4. In the Screening Test section, list each test performed along with its date in MM/DD/YYYY format. Ensure you attach copies of relevant bills.
5. Review and sign the Certification section. Both the claimant and policy owner must provide their signatures and dates.
6. Finally, ensure all sections are complete before submitting your claim to avoid delays in processing.

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