Follow the steps to successfully fill out the UFT Dental form

1. Press the ‘Get Form’ button to obtain the UFT Dental form and open it in the designated editor for editing.
2. Identify the purpose of the form by checking the appropriate box to denote whether it is a Pre-Treatment Estimate or a Claim for Payment. Additionally, indicate if you are currently an active member, a retiree, or COBRA eligible.
3. Complete all sections in the member's area and, if applicable, provide information for your spouse or domestic partner. Be sure to include details for any dependent children who are under the age of 26.
4. Ensure that your Social Security Number is included, as it is necessary for processing both this form and any correspondence.
5. Sign the 'Authorization to Release Information' section. This authorization is required for both Pre-Treatment Estimates and Claims for Payment. Only sign the 'Authorization to Assign Benefits' if you want the payment to be sent directly to your dentist.
6. Finalize the form by reviewing the information in the dentist section before signing. Once completed, mail the form to the UFTWF Claims Administrator at the designated address.
7. Ensure that you send your claim within one year of the service date, as late submissions may not be honored for payment.
8. After filling out all necessary sections, you can choose to save changes, download, print, or share the completed form as needed.

Complete your UFT Dental form online today to ensure your dental needs are met.