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

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

View the premium coverage information here or click below to download.

Interested in 403B's? Contact Betsy Brown in Administration for more information.

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

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DentalSelect Gold & Platinum Network Toll Free: 800.999.9789 Phone: 801.495.3000 5373 S. Green Street, Suite 400 Salt Lake City, UT 84123 Toll Free Fax: 888.998.8704 Fax: 801.290.5101 Dental claim form

AFLAC - Vision Claims Department 1932 Wynnton Road Columbus, Georgia 31999 Phone: 1.800.992.3522 Fax: 1.877.442.3522 Vision claim form

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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 512-267-8300 x1505.