Aflac continuing disability forms 2026

1. Click ‘Get Form’ to open the Aflac Continuing Disability Claim Form in the editor.
2. Begin with Section A: Policyholder/Patient Information. Fill in your first name, last name, mailing address, and check the box if this is a new permanent address.
3. Provide patient information including relationship to the primary policyholder, phone number, social security number, sex, and birth date. Also include details about unemployment if applicable.
4. In Section B: Physician's Statement, ensure your physician completes all required fields including diagnosis description and treatment dates.
5. Section C: Employer's Statement must be filled out by your employer. They will provide employment details and confirm whether the disability was work-related.
6. Review all sections for completeness before signing the claim form at the bottom of Section A.

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