Home
Benefits
By-Laws
Calendar of Events
Contact Information
Delta Dental
Delta Forms
Election Page
Executive Officers
Grievances
Guestbook
Leave Restriction
Links
Local Rep's Page
Local Reps Roster
Map
Membership
Political Action
President's Message
Space Heaters
Vision 2025
Archives
 


The form below is used to sign up for Delta Premiere & Delta Care.  It must be obtained from your local office representative.  If he or she is not available contact Danette Mitchell by personal e-mail dmitchell1222@gmail.com or phone (313) 333-4597.

Please indicate which program you are enrolling in by using the following Group Code:

2116-0004 - Delta Premiere
8116-0004 - Delta Care EPO