The United Federation of Teachers - A Union of Professionals

September 7, 2008  

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Necessary DOE/WCB Forms to File

Workers’ Comp can provide valuable benefits if you are a paraprofessional, school nurse or OT/PT and have a work-related injury or illness.

Schools should provide a safe and healthy work environment. But if you are hurt on the job, there are certain procedures you should follow to ensure that you get all the benefits that you are entitled to. The UFT is dedicated to guiding injured members through the process, so it’s important to contact your union in the event of an injury.

If you are a full-time or part-time paraprofessional, nurse, or occupational or physical therapist and you are injured or made sick on the job, you should file for Workers’ Compensation. Workers’ Comp is a form of insurance paid for by the Department of Education that entitles you to full medical coverage and a portion of any lost salary due to job-related injuries and illnesses. (Teachers are covered by the Injury-in-the-Line-of-Duty provision of the contract, not by Workers’ Comp.)

The Necessary DOE & WCB Forms to File

Other Forms:

C-11 Change of Employment Status

MD-1 Request for Medical Authorization

DB-450 Notice and Proof of Claim for Disability Benefits

DB-470 Claim for Reimbursement of Benefits

Instructions - for Payroll Secretaries

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