The United Federation of Teachers

Forms

Feb 16, 2007 5:11 PM

REPORTING FORMS:

UFT Safety Incident/Discipline Report Form

Safety and Health Complaint Form

DOE Occurrence Report Form

A-443 Student Removal Form

Summary of Student Removal

Violation of School Safety Plan - Step 1 Form

INJURY IN THE LINE OF DUTY (ILOD)

Procedures for Injury in the Line of Duty

Comprehensive Injury Report - Part A

Comprehensive Injury Report - Part B

Comprehensive Injury Report - Part C

OP198 Absence Form

OP198 - Instructions

OTHER IMPORTANT FORMS & INSTRUCTIONS:

Bloodborne Pathogens Exposure Incident Reporting Package

OP200 Assignment Form

OP407 Confidential Medical

OP407 - Instructions

OP504 Claim for Loss Property

OP504 - Instructions

OP505 Accidental Medical Reimburse

OP505 Instructions

OP505A  Assaults - Reimburse Medical

OP505A  Instructions

OP505G - Claim for Loss or Damage Eye Glasses

FMLA  Application

WORKERS' COMPENSATION:

Workers' Compensation Procedure

C-2 Employer's Report Form

C-3 Employee's Claim for Compensation Form

C-4 Attending Doctor's Report Form

WCD-23 Employer's Notice of Injury

C-257 Out-of-Pocket Reimbursement Form

UFT Workers' Compensation Intake Form