Delta Dental - Washington Dental Service

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September 2, 2010
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Forms & Applications

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This section includes most forms and applications Employers need with Washington Dental Service.

  • Enrollment Form
  • DeltaCare Enrollment Form
  • Employer Online Enrollment Application
  • Employer Online Enrollment View only Access Application
  • Employer Online Enrollment User Changes
  • Employer Online Reporting Access Application
  • Employer Online Reporting User Changes
  • Disabled Dependent Application
  • Domestic Partner Information
  • Domestic Partner Affidavit Form
  • Domestic Partner Directive Form 
  • Custodial Parent Application

Below are versions of the Online Enrollment and Online Reporting applications in word format:

  • Employer Online Enrollment Access Application
  • Employer Online Enrollment View only Access Application
  • Employer Online Enrollment User Changes
  • Employer Online Reporting Application
  • Employer Online Reporting User Changes
Questions? Call Washington Dental Customer Service at (800) 554-1907, Monday through Friday, between 8 am and 5 pm, PT.

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