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