Federal Housing Finance Agency (FHFA)
Customer Service Online Inquiry Form

Are you a dentist? Please use our Online Dentist Inquiry Form.

Are you enrolled? Register now on our Member Portal.

REQUESTOR INFORMATION

Fields marked with an asterisk (*) are required.

First Name*

Last Name*

Email Address*

Requestor Status*

Enrolled Not Enrolled

SUBSCRIBER INFORMATION

Same as above (auto populate the subscriber first and last name)

Subscriber First Name*

Subscriber Last Name*

Subscriber Date of Birth*

Subscriber ID*

NATURE OF INQUIRY

Are you inquiring about a claim?*

No Yes

Claim Number*

The 13-digit Claim Number is located in the upper right portion of your Explanation of Benefits.

I would like to recommend my dentist to participate in the Delta Dental Provider Network.

Dentist First Name*

Dentist Last Name*

Dentist Business Name

Dentist Address*

Dentist City*

Dentist State*

Dentist Specialty*

Dentist Zip Code*

INQUIRY DETAILS

Inquiry Details*

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.

Federal Housing Finance Agency (FHFA)Customer Service Online Inquiry Form

Federal Housing Finance Agency (FHFA)
Customer Service Online Inquiry Form