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Forms

The Claim Forms, Continuation Forms and Beneficiary Designation Forms are accessible below, separately for the counties and cities.

How to Continue the Critical Illness Benefit Flowchart (NEW!)
How to Continue the Disability Benefit Flowchart (NEW!)
  • ACCG FAQ
  • ACCG Critical Illness Claim Form for Firefighters
  • ACCG Critical Illness Claim Form for Employers
  • ACCG Long-Term Disability Claim Form
  • ACCG Portability and Conversion
  • ACCG Extended Continuation Form for Critical Illness (Updated 03/21/2021)
  • ACCG Extended Continuation Form for Critical Illness – How to Complete Guide (Added 03/21/2021)
  • ACCG Notice of Continuation Form for Long Term Disability (Updated 03/21/2021)
  • ACCG Beneficiary Designation Form
  • ACCG Firefighter Acknowledgment Form
  • GMA FAQ
  • GMA Critical Illness Claim Form for Firefighters
  • GMA Critical Illness Claim Form for Employers
  • GMA Long-Term Disability Claim Form
  • GMA Portability and Conversion
  • GMA Extended Continuation Form for Critial Illness (UPDATED 3/21)
  • GMA Extended Continuation Form for Critical Illness – How to Complete Guide (Added 03/21/2021)
  • GMA Notice of Continuation Form for Long Term Disability (UPDATED 3/21)
  • GMA Beneficiary Designation Form
  • GMA Firefighter Acknowledgment Form
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