Forms, brochures and guides Alaska

Guides and documents

Dental
Dental (Español)
Claim form – Log in to Employer dashboard to access claim form
Complaint and appeal form – Use this form to file an appeal or a complaint
Coordination of Benefits form – Use this form to give us information about other dental or health plans your employees may have
Disabled Dependent Certification form – Use this form to certify a disabled dependent
Declaration of Domestic Partnership for qualified plans – Use this form for domestic partnership documentation
Privacy Disclosure – Authorize Delta Dental to use/disclose information about a member (Instructions)
Dental provider nomination form – Use this form to nominate a provider to one of our networks
Group Size Determination Form – Use this form to see if you qualify for being a small group

Go to our value-add section for more brochures.