Aflac printable forms 2026

1. Click ‘Get Form’ to open the Claims Authorization to Obtain Information form in the editor.
2. Begin by filling in the Policyholder Name and Policy Number(s) at the top of the form. Ensure accuracy as this information is crucial for processing your claim.
3. Next, provide the Date of Birth and Address of the policyholder. If the claimant/patient is different from the policyholder, fill in their name and date of birth in the designated fields.
4. If applicable, check the box indicating you are filing a claim on behalf of a deceased individual. This step is essential for proper claim handling.
5. Sign and date the form at the bottom. If you are an Authorized Representative, include your relationship to the claimant and attach any necessary legal documents.
6. Finally, fax or return this completed form to Aflac New York's Claims Department as soon as possible to expedite your claim review.

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