Download Dental or Vision Forms



The following forms are available to Reliance Standard Policyholders.
Please be familiar with our privacy and legal statement before downloading any forms from this website.   These forms require Adobe Acrobat Reader, which is available free from Adobe. Please select your state of residence from the list below:


 

PLEASE TAKE NOTICE:

Binding Legal Agreement for Online Users

Current legal and/or administrative information contained within websites or portals contained within Reliance Standard, Reliance Standard of Texas, First Reliance Standard Life Insurance Company or Reliance Standard Life Insurance Company's current legal and licensing documentation will supersede any and all prior documentation for this purpose thereof.  For more information about current licensing or legal requirements, please visit our online privacy page.

By accessing or downloading online forms, the User automatically agrees to release, indemnify and hold harmless Reliance Standard Life Insurance Company (RSL) and/or First Reliance Standard Life Insurance Company and their affiliates for any damage or liability incurred by use of these forms. It is solely the User's responsibility to keep only the most current Reliance Standard forms on file. Access to these online forms is solely for the purpose of permitting the User to print and submit the form(s) to Reliance Standard.