Please click on a form name below to download a pdf version. Then print it out, fill it out, and mail or fax it back to us. Please call (785) 228-1702 or (800) 715-1702 if you have questions regarding the forms.
Loyal American Forms
Cancer Claim Forms
- Instructions – Cancer Claim
- Statement of Claim
- Attending Physician’s Statement
- Authorization Form
- Personal Representative Form
- Mileage Form
Accident Claim Forms
- Instructions for Filing An Accident Claim
- Accident Claim Form
- Attending Physician’s Statement
- Authorization Form
Application Form for Cancer Insurance/
Application Form for Accident Expense Coverage
More Information
Contact Us:
All American Associates
2942 SW Wanamaker Dr., Suite 150
Topeka, KS 66614
785-228-1702
800-715-1702
785-228-1720 [fax]