Aflac Cancellation Form

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Web request for deletion please use blue or black ink only and print legibly when completing this form in its entirety. Get your fillable template and complete it online using the instructions provided. Web request for cancellation of policy/certificate *cancellation of riders on existing coverage should be completed using the request forchange form (hnyl0046) or the applicable product application for.

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Web request for cancellation of policy *cancellation of riders on existing coverage should be completed using the request for change form (hl0046) or the applicable product. Keep a copy of the supporting documentation and this completed form for your records. Web updated sep 10, 2021 you can cancel your aflac policy. Web address change cancellation/ change of coverage if using.

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Web address change cancellation/ change of coverage if using the group term life service request form please return it to: Web updated sep 10, 2021 you can cancel your aflac policy. Web sign, date and mail the completed form to the address below or fax to 1.800.448.8922. However, in order to receive this coverage, you must pay monthly premiums and.

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