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Yes No Someone can claim: You as a dependent Your spouse as a dependent Spouse itemizes on a separate return or you were a dual-status alien. Age/Blindness { You: Were born before January 2, 1958 Are blind Spouse: Was born before January 2, 1958 Is blind. Dependents. (see instructions): (1) First name Last name.File For Disability Benefits | Veterans Affairs. An official website of the United States government. Here’s how you know. The .gov means it’s official. The site is secure. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. Talk to the Veterans Crisis Line ...Life claim forms for the state of Illinois must be obtained by contacting Aflac Worldwide Headquarters at 800.992.3522 to have the appropriate forms sent to you. Our customer service representatives are here to assist you Monday through Friday 9 a.m. until 7 p.m. Eastern time. 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