Notice:

Our office will be closed at noon on May 29 and all day on Friday, May 30 for annual training. You can access benefit, eligibility, and claim information at deltadentalwa.com or through our Interactive Voice Response system. We’ll be back during regular business hours on Monday, June 2. Thank you for your understanding.

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

2025 Small Group Direct Sales Group Master Application

2025 Small Group Direct Sales Group Master Application

Online Fillable Form For Groups Without Brokers
2025 Small Group Group Master Application

2025 Small Group Master Application

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

Large group forms and applications