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

 
Copyright © 2000-2010   ---    Life Insurance Company of Alabama  ---   All Rights Reserved.