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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
New Health Care Coverage Options
LVISD Board of Trustees approved the budget for school year 2006-07 which includes the substantial pay raise as well as a very significant improvement in employees’ health care insurance premiums. You can view the new premium coverage information here. This is a tremendous new advantage for employees. Congratulations to employees and thank you to the LVISD Board!

Or click below to download.
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.

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 - 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.
©2006 Lago Vista ISD - All rights reserved.