Delta Dental of Arizona requires contracting for all producers hat have sold business through us for Group or Individual Insurance. Select "continue" button below to begin the contracting process:

1. Complete the following online documents.
2. We will respond with your producer number within 48 hours.
   (Excluding holidays and weekends)
3. Additional documentation will follow, by mail, in a few days.

The following documents will be completed with the information you supply on the following pages. Once completed, the documents will be sent to you for your records.  No signature is required if applying online.

• Producer Fee & Business Associate Agreement
  
• Federal W-9