Online Forms
For Members
Grievance Form
Use this form if you wish to report a complaint with Vision Plan of America regarding your membership
Grievance Form (Spanish)/Proceso de Queja
Use esta forma si necesita hacer una queja con Vision Plan of America sobre su plan de vision
Status Change Form
Use this form if you wish to make changes to your membership (such as change of name/address, change of provider, add/delete dependents, etc.)
Status Change Form (Spanish)/Cambio de Estado
Use esta forma si necesita hacer cambios a su membresía. (Por Ejemplo: Cambio de Nombre/Domicilio, Cambio de Proveedor, Agregar/Cancelar Dependientes, etc.)
For Group Administrators
Status Change Form
Use this form if you wish to make changes to your membership (such as change of name/address, change of provider, add/delete dependents, etc.)