Forms & Resources

Admin Forms

Aflac Service Request
AUL Service Request
FBA Benefits Card Election
FBA Change of Address
FBA Change of Status
FBA Direct Deposit
Manhattan Life Policy Change
The Local Choice 2024 Enrollment Form
Trustmark Beneficiary Change
Trustmark Waiver of Premium Application

Claim Forms

Aflac Accident
Aflac Critical Illness
Aflac Hospital Indemnity
AUL Long-Term Disability
AUL Maternity
AUL Short-Term Disability
FBA Dependent Care Reimbursement
FBA Medical Reimbursement
Manhattan Life Cancer
Trustmark Death Benefit Claim
Trustmark Early Life Benefit
Trustmark Long-Term Care
Trustmark Waiver of Premium Continuance

Wellness Forms

Aflac Group Wellness Screening
Manhattan Life Cancer Wellness