Forms Administrative Forms Aflac Service Request Allstate: Bank Draft Form (Plan No Longer Available) FBA Debit Card Election Form FBA Direct Deposit Form Claim Forms Aflac Accident Aflac Critical Illness Ameritas Dental Claim AUL Maternity AUL Short-Term Disability Community Eye Care Out-Of-Network FBA Medical Reimbursement Claim Form Manhattan Life Cancer Trustmark Universal Death Benefit Wellness Benefit Forms Aflac Group Wellness & Health Screening Manhattan Life Cancer Wellness