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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.