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OP 175: Application for per session employment & retention rights
This form must be completed and submitted to the per session supervisor prior to commencement of employment in a per session activity. Waivers for per session activities that will exceed 400 hours must be submitted electronically through the DOE's...
Extended Session Grievance Form, Step 1
Extended Session Teacher/Student Ration Fact Sheet
Per Session Unused Sick Time Transfer Form
This form is used to transfer accrued per-session sick leave to the employee's regular cumulative absence reserve.
OP 504: Request for Reimbursement for Loss or Damage to Personal Property
The DOE will reimburse you up to $500 per school year for stolen or destroyed property such as loss or damage to personal clothing and personal accessories. For reimbursement of eyeglasses damaged in assault cases, use form OP 505G.
OP 505: Request for Reimbursement of Medical Expenses
Once line-of-duty status has been approved, you can use this form to request reimbursement for out-of-pocket medical expenses to a maximum of $1,500.
CAR Transfer Form
All pedagogues and paraprofessionals may use this form to donate sick time to a colleague. The recipient receives one day for every two days donated. Sick leave transfer rules are on page 2 of the form.
T-Bank Stop Payment Request Form
This form is for payroll secretaries.
DOE Labor Policy Guidance: workday and remote work for school-based titles
DOE Labor Policy Guidance on workday times, parent-teacher conference dates and contractual remote work for school-based titles.
Annual DOE teacher shortage areas for additional compensation
Annual DOE list of teacher license area shortages which may qualify members licensed in these areas for additional compensation.
Employment Records Research Request Form
Use this form to request employment verification for pension purposes.
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.
EB1054 Health Benefits Report/Inquiry
You should submit this report with your Educational Paraprofessional Leave Application to prevent the disruption of your major medical insurance.
C-2: Employer’s Report
The employer is required to fill out this report within 10 days to notify the Workers’ Compensation Board of your work-related injury or illness. You should not participate in filling out this form. See the C-2: Employer's Report - Filing Procedure...
OP 198: Application for Excuse of Absence for Personal Illness (Sick Leave)
This form is used by all pedagogues to apply for medical certification for absence up to 20 consecutive school days, for requests to borrow sick days, for excuse of absence due to children’s diseases, and for injury in the line of duty claims. Rules...
Hazardous Chemical Exposure Incident Report
Use this form to document a hazardous chemical exposure incident in your school. Parts I, II, and III of the form are included.
C-3: Employee’s Claim
You must fill out this form to initiate your Workers’ Compensation claim. You should retain one copy, file a second with the Board, and provide a third to your legal representative.
DOE Payroll Administration Memorandum - Social Security and Medicare rates
Social Security (FICA) and Medicare tax rates, including the maximum Social Security withholding amount per calendar year. Social Security deduction amounts will decrease, and/or stop entirely, when the maximum amount is reached. There is no maximum...
Florida PPO Panel - Dental Schedule
For UFT members in the Florida area, this is the Schedule of Benefits. When you use a UFT Welfare Fund participating dentist, you will be provided with the services listed in the Schedule of Covered Dental Expenses without charge except for those few...
Dental Schedule
For Welfare Fund members who are using a non-participating dentist, your reimbursement will be according to this dental fee schedule; for those using a participating dentist, there will be no cost to the member except for co-pays listed in this...
UFT Welfare Fund Health Plan Comparison Chart Wall Chart
Summary comparison of health plans for employees and those retirees not eligible for Medicare.
Child Care Coverage Request Form
Members on an approved Child Care Leave who are currently covered by the UFT Welfare Fund are eligible to receive extended UFT Welfare Fund benefits for up to a maximum of six (6) consecutive months for the birth or adoption of a child.
Dentcare HMO brochure
Brochure for Dentcare HMO
Advance FAQ
See answers to frequently asked questions about the Advance evaluation system in this DOE FAQ.
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)...
Extended Use Training for School Staff Powerpoint Presentation
Extended Use Training PowerPoint presentation for School Secretaries
School Nurse Timesheet
Office of School Health Time Report for Nurses.