Employee Access
Click here for employee access to all your payroll, benefits and deduction information.

Local Leave Donation and Request forms
Download the appropriate document below to donate or request Local Leave. When you have completed the form, submit to your principal or supervisor for signature.

Local Leave Donation
Local Leave Request


Health Care Coverage Options
You can view the new premium coverage information here
 

Employee Demographic & Emergency Contact Information
Have you moved, changed cell phone numbers, spouses?! If you have had any changes, please download this demographic data form and turn in to the administration office.

New Employee Forms

Congratulations and welcome to LVISD!
Below, you will find some of the forms necessary to complete your employment file. Please let us know if you have suggestions for other helpful downloads.

Criminal Background Check
W4
I9

Employee Benefits Information
Interested in 403B's? Contact Betsy Brown in Administration for more information.
Teacher Retirement System Logo
Blue Cross Blue Shield
Health Insurance (PPO)
Group #085000
Phone 1.800.521.2227
Find a doctor
Scott & White
Health Insurance (HMO)
Group #085000
1.800.321.7947
Assurant Employee Benefits
Dental
Prepaid Managed Care - Legend Series
Phone: 800.443.2995
DHA Dental Health Alliance- PPO
Phone: 800.442.7742
Dental claim form
AFLAC - Disability and/or Life Insurance
Claims Department
1932 Wynnton Road
Columbus, Georgia 31999
Phone: 1.800.992.3522
Fax: 1.877.442.3522
Short-term disability claim form
AFLAC
Cafeteria Plan
Client ID:Y3940
Phone: 1.800.99.AFLAC (800.992.3522)
Flex spending reimbursement form
For additional life insurance, cancer insurance, flex spending accounts and personal accident, see AFLAC or contact the benefits department at 512-267-8339.