It’s never been easier to offer Delta Dental! To get appointed, choose one of the options below. All forms must be completed before your appointment can be processed. We will contact you once your appointment is complete.
Get appointed!
IF YOU ARE WITH AN AGENCY
THAT IS NOT APPOINTED
If you are affiliated with an agency who is not appointed, or you are not affiliated with an agency and need to be appointed to sell Delta Dental and DeltaVision, download and complete all forms in the packet below:
Download the appointment packet
If you are affiliated with an agency and the agency is appointed to sell Delta Dental and DeltaVision, you only need to complete the online ADR form at the link below:
ADR online form
Email completed forms to brokerhelp@deltadentalva.com.
IF YOU ARE WITH AN AGENCY
THAT IS APPOINTED