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Floyd County Public Schools

Forms

Administrative Forms

Aflac Service Request
AUL Service Request
FBA Change of Address
FBA Change of Status
FBA Debit Card Form
Texas Life Change of Beneficiary
Texas Life Name Change

Claim Forms

Aflac Accident
Aflac Critical Illness
Aflac Hospital Indemnity
AUL Short-Term Disability
AUL Maternity
Manhattan Life Cancer Claim
FBA Dependent Care Reimbursement Claim Form
FBA Medical Care Reimbursement Claim Form

Wellness Benefit Forms

Aflac Accident Wellness
Aflac Critical Illness Wellness
Aflac Hospital Indemnity Wellness
Manhattan Life Cancer Wellness

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Disclaimer

All information contained in this website is a brief description of your coverage and is not a contract.  Please read your certificate or policy for each product for the exact terms and conditions of each product.  If you cannot find the policy certificate please reach out to us on the contact page.

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  • Home
  • Benefits Guide
  • Product Videos
  • Forms
  • Policy Information
  • Enrollment
  • Contact Information