Eligibility Forms

• Spouse Medical Eligibility Verification Form
• Dependent Eligibility Verification Form

Disability – Lincoln Financial

• Long-Term Disability Claim Form
• Short-Term Disability Claim Form

Aflac

• AFLAC Forms Library
• AFLAC Cancer Claim Form
• AFLAC Cancer WELLNESS FORM
• AFLAC Accident APPLICATION
• AFLAC Accident Claim Form
• AFLAC Accident WELLNESS FORM
• AFLAC STD Claim Form- Sickness (Old Policies)
• AFLAC STD Claim Form- Accident (Old Policies)
• AFLAC Waiver of Premium when disabled
• AFLAC Payment Authorization

401k Beneficiary

• Designation of Beneficiary Form

Flexible Spending – Medcom

• MedCom Forms Repository
• Flex Enrollment Form
• Flex Claim Form
• In Home Day Care Receipt
• Flex Dependent Card Request Form
• Flex Direct Deposit Form
• Flex Family Status Change Form
• Regular Recurring Expense Form
• FSA Direct Deposit Authorization Form
• Child Care Affidavit

Group Life – Lincoln Financial

• Group Life Evidence of Insurability Instructions
• Group Life Claim Form
• Group Life Conversion Form
• Group Life Waiver of Premium
• Group Life Portability Application

Funeral Prep – Flyer of Services

At-need planning: When grieving the loss of a loved one, you’re confronted with more than just a life insurance claim. Lincoln FuneralPrep helps to alleviate the stress and uncertainty of making urgent decisions during an emotional time.

Preplanning: Being prepared is one of the best gifts you can give your family. In addition to providing preplanning resources, Lincoln FuneralPrep can  connect you with funeral professionals who can provide expert guidance and advice.

Unum

• Unum E-Sign Online Requests
• Life Service Form – English
• Life Service Form – Spanish
• Life Application
• Life Claim Form
• Critical Illness Application
• Critical Illness Claim Form
• Unum Wellness Screening – Critical Illness
• Unum Short Term Disability Claim

HR Forms

• Application for Employment
• Employee Benefit Termination Form
• G-4 Form
• Georgia New Hire Reporting Form
• I-9 Form
• LOA FMLA Form
• New Hire Rehire Form
• Occupational & Industrial Medicine Form
• Participant Status Change Form
• Payroll Change Notice
• W-4 Form