Federal Government Programs (FGP)
 Overseas Claim Submission

ATTENTION: A claim form must be completed before attaching it to this submission form. A claim form can be obtained by clicking the link Claim form.

⚠ This form is temporarily disabled. Please check back later or contact us directly for assistance.

Required Information

 /   /  MM/DD/YYYY
(9-digit number without hyphens or spaces)

Required File Attachments

We are experiencing a temporary issue with attachments. If you are NOT planning to submit an attachment with your inquiry, please proceed. If you are needing to submit attachments to support your inquiry or question, please submit a written inquiry (along with all supporting documentation) to Delta Dental at the following address:

Delta Dental of California – Federal Government Programs P.O. Box 537007 Sacramento, CA 95853

Our team is working to resolve this issue as quickly as possible. Thank you for your patience and we apologize for any inconvenience this may cause

Additional Information

Enter any additional related information that may be helpful in processing your claim:

Security Question

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