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Forms & Documents

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Tax Related Forms
Form Name Download Form
State With Holding L4 Download
Federal Tax Holding W4 Download
Other Forms
Form Name Download Form
Direct Deposit Form Download
Payroll Choice Form (Only make changes 6/1-08/15 for upcoming school year) 9-10 month employees Download
Starting and ending payment dates for the school for regular employees paid semimonthly (Non Subs) Download
JPPSS Online Forms- Including Change of Address Form Click Personnel Forms, then click change address/name Online Forms
Stopping Deductions
Form Name Download Form
Change or Revocation Form Voluntary Sheltered (Pre-Tax) Deductions Please route original signed form to: Payroll Services Attention: Laurie Thompson 4600 River Rd Marrero, LA 70072 Download
Stopping Voluntary (Post-Tax) Deductions Fax back to Laurie Thompson at 754-7592 Download
BENEFITS INFORMATION
Form Name Download Form
Benefits Booklet 10-11 Benefits Booklet
CIGNA Short Term Disability Claim Instructions CIGNA: 1-800-362-4462 CIGNA Short Term Disabilty Instructions
CIGNA Long Term Disability Claim Instructions CIGNA: 1-800-362-4462 CIGNA LONG TERM DISABILITY INSTRUCTIONS
CIGNA Online Claims Filing: Fill out employee portion of claim form and sign the Disclosure Authorization Form and forward to CIGNA. CIGNA will get your doctor's and employer's statement. CIGNA Online Claims Form
CIGNA Long Term Disability Booklet CIGNA Long Term Disability Booklet
CIGNA Long Term Disability Retiree Return To Work Booklet CIGNA Long Term Disability Retiree Return To Work Booklet
CIGNA Short Term Disability Booklet CIGNA Short Term Disability Booklet
CIGNA Term Disability Retiree Return To Work Booklet CIGNA Short Term Disability Retiree Return To Work Booklet
CIGNA LTD & STD coverage during employment events (leaves etc) Cigna LTD STD Policy Covergage
CIGNA Life Assistance Program Agreement 1-800-532-8733 CIGNA Life Assistance Agreement Program
Colonial Disability Claims: 1-800-325-4368 Colonial Service Forms and Products
Bargaining Employees Benefits
Jefferson Federation of Teachers Health and Welfare JFTHW (Bargaining Unit Only) 504 455-7261 JFT Health and Welfare Website
Non Bargaining Employees Benefits
AIG Dental/Vision Enrollment Form (Non-Bargaining Unit Employees Only) 504 831-1238 or 504 473-5249 AIG Dental/Vision Enrollment Form
AIG Rate Information AIG Rate Information
AIG Dental Brochure AIG Dental Brochure
AIG Dental Provider List AIG Dental Provider List (click on Smilemax)
AIG Vision Information AIG Vision Information
AIG Vision Provider List AIG Vision Provider List
Louisiana Dental Plan Inc. Louisiana Dental Plan Inc
Louisiana Dental Plan Inc. LA Dental Inc. Enroll Form

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