Colonial life wellness claim 2026

1. Click ‘Get Form’ to open the Colonial Life Wellness Claim in the editor.
2. Begin by filling out the Claimant Statement section. 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 the Certification section carefully. Sign and date it to confirm that all information is accurate and complete.
6. Finally, submit your completed form via fax or mail as indicated on the document.

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