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Forms - Employers | Delta Dental of Washington

Easily download and submit the form or application that relates to your needs.

Standard forms and applications

Small group forms and applications

Large group forms and applications

Standard forms and applications

Authorization Agreement for Automatic Payments

Online Fillable Form

Custodial Parent Application

Downloadable Form

Disabled Dependent Application

Downloadable Form

Domestic Partner Affidavit Form

Downloadable Form

Domestic Partner Directive Form

Downloadable Form

Online Enrollment Application and Change Form

Downloadable Form

Online Reporting Application & Change Form

Downloadable Form

Small group forms and applications

2026 Forms

2026 Small Group 2-50 - Direct - Group Master Application

Online Fillable Form For Groups Without Brokers

2026 Small Group 2-50 Group Master Application

Online Fillable Form For Groups Wtih Brokers. Broker will initiate this application.

2026 Small Group 51-99 Group Master Application

Online Fillable Form

2026 Small Group Enrollment Form

Downloadable Form For Member Enrollment

2026 Small Group 51-99 Employee Enrollment Form

Downloadable Form

Large group forms and applications

2026 Forms

2026 Large Group PPO Group Master Application - Dental Only

Downloadable Form

2026 Large Group PPO Group Master Application - Dental & Vision

Downloable Form

2026 Large Group PPO Maximum Wellness Group Master Application - Dental Only

Online Fillable Form

2026 Large Group PPO Maximum Wellness Group Master Application - Dental & Vision

Downloadable Form

2026 Large Group Premier Group Master Application - Dental Only

Downloadable Form

2026 Large Group Premier Group Master Application - Dental & Vision

Downloadable Form

2026 TotalHealth Enrollment Form

Downloadable Form

2026 DeltaCare Group Master Application - Dental Only

Online Fillable Form

2026 DeltaCare Group Master Application - Dental & Vision

Downloadable Form

2026 Large Group Enrollment Form

Downloadable Form

2026 Large Group Enrollment Form Dental & Vision

Downloadable Form

2026 DeltaCare Enrollment Form - Dental Only

Downloadable Form

2026 DeltaCare Enrollment Form - Dental & Vision

Downloadable Form

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Forms - Employers | Delta Dental of Washington

Standard forms and applications

Authorization Agreement for Automatic Payments

Custodial Parent Application

Disabled Dependent Application

Domestic Partner Affidavit Form

Domestic Partner Directive Form

Online Enrollment Application and Change Form

Online Reporting Application & Change Form

Small group forms and applications

2026 Small Group 2-50 - Direct - Group Master Application

2026 Small Group 2-50 Group Master Application

2026 Small Group 51-99 Group Master Application

2026 Small Group Enrollment Form

2026 Small Group 51-99 Employee Enrollment Form

Large group forms and applications

2026 Large Group PPO Group Master Application - Dental Only

2026 Large Group PPO Group Master Application - Dental & Vision

2026 Large Group PPO Maximum Wellness Group Master Application - Dental Only

2026 Large Group PPO Maximum Wellness Group Master Application - Dental & Vision

2026 Large Group Premier Group Master Application - Dental Only

2026 Large Group Premier Group Master Application - Dental & Vision

2026 TotalHealth Enrollment Form

2026 DeltaCare Group Master Application - Dental Only

2026 DeltaCare Group Master Application - Dental & Vision

2026 Large Group Enrollment Form

2026 Large Group Enrollment Form Dental & Vision

2026 DeltaCare Enrollment Form - Dental Only

2026 DeltaCare Enrollment Form - Dental & Vision