Aflac Claims Below
Fax 877-640-4515
If you need a claim form please click below on the proper claim.  Fill out the policyholder and the
patient section of the claim  form and have your doctor fill in the physicians section.  
If you are filling  for a disability have your employer fill out the employer section.  Please contact me
with questions or concerns.
Please fax all claims to me - 877-640-4515.  Or email me
Phone  219-928-5799
326 Phillip Rd.
Valparaiso, IN 46385