Paper claim forms

Download paper claim forms and find more information about filing paper claims by clicking an option below. Change policy details or keep your coverage after an employment change by using our service forms.

Formularios en Español

Looking to file online?

Filing online is fast and easy. File your claim online.

Accident claim

You can file an accident claim if you or a dependent on your policy has been in a covered accident.

Cancer claim

Submit a claim if you or a dependent has cancer. If you have an initial diagnosis rider, you may be able to file during the diagnosis phase.

Critical illness claim

You can file a critical illness claim if you or a dependent on your policy has been diagnosed with a covered critical illness.

Dental claim

You can file a dental claim to receive benefits for over 400 routine and extensive procedures.

Disability claim

Submit a disability claim if you're unable to work due to an accident or illness.

Loss of life claim

Notify us of a loss of life using our secure online form. Once we receive the information, we'll send the necessary claim forms to you.

Multi-policy claim

Submit a claim for disability, cancer, accident and hospital confinement using the Universal Claim Form.

Pregnancy claim

File a pregnancy claim once you deliver. If you are filing for complications prior to delivery, file a Multi-Policy (Universal) Claim instead.

Vision claim

You can file a vision claim if you purchased a vision rider with your Colonial Life dental insurance plan and would like to receive benefits to help cover an eye exam and/or vision correction materials.