Instructions for Accident Forms      
 
Use Adobe Acrobat Reader to view and print a PDF version of the Accident Forms.
 

 
1.  Please print and complete the forms listed below.
2.  The instructions are listed at the top of each form.

3.  Mail claims to:
 

 Life Insurance Company Of Alabama
P.O. Box 349
Gadsden, Al 35902
 

 		 
 
 
  Form Description  
  Claimant's Statement  
  Authorization To Release Information  
  Physician Statement  

 
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