Doc Delivery

Check Advices are now available online at: http://www.doculivery.com/batesville

Employee Forms

Payroll Direct Deposit Authorization
Paid Leave Form
Request for Extended Leave
Continuing Education Form
Request for Travel (only to be used when leaving campus)
Vehicle Request (only to be used when requesting use of a school vehicle)

Anthem

(800) 345-2460 for questions or issues. If not resolved, then please call Todd Nobbe at the administration building.

Benefits

• SISC – Southeastern Indiana School Insurance
• 2021 Anthem CERTIFIED
• 2021 Anthem CLASSIFIED
• HSA 2 Plan Summary 2021
• HSA 2 Benefit Booklet 2021
• HSA 1 Plan Summary 2021
• HSA 1 Benefit Booklet 2021
• PPO Plan Summary 2021
• PPO Benefit Booklet 2021
• Vision Benefit Summary
• Pre-Dent Dental Benefits
• Anthem Application

Current Clinic Providers

• http://www.sisicprimarycare.com/
• PreventiveRX Drug List October 2020
• Labs 9-16-16

Valic

John Kitlinski – (812) 212-5779 – john.kitlinski@valic.com
Ryan Brown – (317) 364-8399  – Ryan.Brown@valic.com

American Fidelity

(317) 871-2480 or (800) 638-4268, ext 207

2021 Tax Forms & Employment Eligibility Verification Form

• W-4 2021
• Indiana State Tax Form
• Employment Eligibility Verification Form

Classified Employees Compensation and Benefit Package

• Classified Staff Compensation and Benefit Package 2021

Background Checks

• Employment Certified Background Check
• Employment Non Certified Background Check

Families First Coronavirus Response Act (FFCRA or Act)

• FFCRA Employee Rights