Get Appointed As a Broker for Delta Dental

It's easy to get appointed with us:

1. Download the form packet

2. Fill out the forms (note - all required forms are included).

3. Print the packet, and then sign and date each form. Please review each page to ensure there are no blank fields!

4. Send the completed packet:

Mail:
Delta Dental of New Jersey
Attn: Commission Department
1639 Route 10
Parsippany, NJ 07054

Fax:
973-285-4110

Email as an attachment

Once we receive and approve your paperwork, we’ll share your unique URL with you; you’ll need this URL to ensure that you receive commissions for the policies you write.