Please choose a form below to download.
Dental Claim Form
To submit a dental claim for processing you can download a Dental Claim Form from this link and submit completed claim form to the address provided on your ID card.
City of Austin 2019 Dental Fee Schedule
This is the fee schedule for the 2019 City of Austin Dental Plan
City of Austin 2018 Dental Fee Schedule
This is the fee schedule for the 2018 City of Austin Dental Plan