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

When the LVISD Board of Trustees approved the budget for 2006-07, a substantial pay raise as well as a very significant improvement in employees’ health care insurance premiums was included.

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

This is a tremendous advantage for employees.

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

---

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

---

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

---

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.