Printable Aflac Cancellation Form

Printable Aflac Cancellation Form – Please keep a copy of this completed form for your records. Complete aflac cancellation form printable online with us legal forms. Easily fill out pdf blank, edit, and sign them. Save or instantly send your ready documents.

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Have reviewed the benefits of the plan and have decided to. Distribute instantly to the receiver. Request for cancellation of policy/certificate *cancellation of riders on existing coverage should be completed using the request for change form (hnyl0046) or the applicable product application for downgrade.

Download The Data File Or Print Your Copy.

Use get form or simply click on the template preview to open it in the editor. American family life assurance company of columbus (aflac) worldwide headquarters • 1932 wynnton road • columbus, georgia 31999 1.800.992.3522 telephone • 1.800.448.8922 fax • aflac.com m0784 m0784.3 1/14 Some types of tests and/or treatment listed may not be covered by your policy.

Please Use Blue Or Black Ink Only And Print Legibly When Completing This Form In Its Entirety.

Cancellation/change of coverage please check one: Make use of the quick search and powerful cloud editor to generate an accurate aflac cancellation form. Get your fillable template and complete it online using the instructions provided.

Start Completing The Fillable Fields And Carefully Type In Required Information.

Request for cancellation of policy request for cancellation of policy *cancellation of riders on existing coverage should be completed using the request for change form. Click done to confirm the adjustments. Sign, date and mail the completed form to the address below or fax to 1.800.448.8922.

Use The Cross Or Check Marks In The Top Toolbar To Select Your Answers In The List Boxes.

American family life assurance company of columbus (herein referred to as aflac) Keep a copy of the supporting documentation and this completed form for your records. Create professional documents with signnow.

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