Instructions for Major Heart Surgery Forms      
 
Use Adobe Acrobat Reader to view and print a PDF version of the Major Heart Surgery  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 © 2000-2008   ---    Life Insurance Company of Alabama  ---   All Rights Reserved.