Dental Claim Form

The Supplemental Benefit Fund (SBF) is not an insurance company and does not participate with any dentist. However, most dentists will handle the claims and paperwork for you. If you need to file a claim yourself, please use the claim form below by clicking on the link. If you have any questions, please contact the SBF Office by calling (716) 881-5462.



dental claim


Click on the Image Above to Open and Print the Supplemental Benefit Fund Dental Claim Form



For more information regarding the Dental Benefits please see the Dental Plan Overview Section.