NEMSA MEMBERS

PO Box 683
Pahrump, NV 89041

ph: 1-800-557-6563
fax: 1-877-203-6810
alt: 702-372-4421

Claim Forms

How to file a claim

There are 2 ways to file a claim.

1. You can click on the link below and print off your claim form by clicking on the state that you live in. Then fax the filled out form to AFLAC toll free number.

2.You can contact one of your reps and we will help you with it.

IF YOU ARE NOT A NEMSA MEMBER PLEASE CALL 1-800-99AFLAC FOR IMFORMATION ON CLAIMS OR GO TO WWW.AFLAC.COM

PO Box 683
Pahrump, NV 89041

ph: 1-800-557-6563
fax: 1-877-203-6810
alt: 702-372-4421