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Claims Forms

For Allstate
Accident Claim Form
Accident Death & Dismemberment Claim Form
Allstate Authorization for Agents Form
Appeal Form
Attending Physicians Statement for DI Claim
Authorization Form
Cancer & Specified Disease Claim Form
Critical Illness Claim Form
Disability Claim Form
Employers Statement for DI Claim
Hospital Indemnity Claim Form
Medical Provider List
MyBenefits Flyer - Submitting Allstate Claims Online
Outpatient Physicians Treatment Claim Form
Wellness Claim Form

Our Office

1640 S 70th St #200,

Lincoln, NE 68506

 
 
 
 
 

Contact Us

(402) 904-3026
sallberry@goueb.com

Office Hours

Mon-Fri: 8:30am – 5:00pm
Sat-Sun: By Appointment

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