Dental & Vision Insurance Forms for Active Members

Forms Policy

  1. Digital signatures are not accepted by NDPERS.
  2. Completed forms must be submitted to NDPERS by fax, by mail, or as a scanned PDF.
  3. NDPERS does not accept picture files such as .jpeg, .jpg, .tif, or .png.

Select a form to download:

For Dental & Vision Plans

For Vision Plan only

Other general forms