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Forms and Documents

Quick links to key forms.

Dependent Child Affidavit

Fill out and have this form notarized for your dependent child to ensure coverage by the UFT Welfare Fund benefit plan.

Comprehensive Injury Report

This form details the nature of your injuries. It should be turned in to your principal within 24 hours of your accident or illness.

Membership Application (Retired Teachers)

Print and complete the retired teachers’ application only if you are not able to use the online enrollment form.

OP 255: Resumption of Service Report

Upon an employee’s return from a leave of absence without pay, the payroll secretary must submit an OP 255 form to the Bureau of Salary Differentials and Status.

Direct Access Dental Plan

This fully explains the benefits available under the UFT Welfare Fund Direct Access Dental Plan (SIDS – Self-Insured Direct Services) and includes a subscription form at the end.

Extended Session Grievance Form, Step 1

Extended Session Teacher/Student Ration Fact Sheet

FMLA: Request for Leave under the Family and Medical Leave Act

For pedagogues and administrative staff. You must provide acceptable certification by a physician or other health care provider for your own serious health condition or the serious health condition of a covered family member within fifteen (15)...

Federation of Nurses/UFT COPE Deduction Authorization Form

Authorization for voluntary deduction.

Student Removal Form

See Chancellor's Regulation A-443 for information on student disciplinary procedures and student removal.

SESIS grievance form

If you have performed SESIS-related activities at home because you have been directed to do so, you can file a grievance within thirty (30) school days from the time you were instructed to perform the activity.

SOLAS FAQ

Get answers to frequently asked questions about the DOE's Self-Service Online Leave Application System (SOLAS).

Salary Application System FAQs

Frequently asked questions about the DOE's salary application system.

Salary Application System Guide: Salary Upgrades for Paraprofessionals

A guide to applying for a salary upgrade for paraprofessionals on the DOE's salary application system.