Office of School Health Time Report for Nurses.

This form is for retired members who have elected a New York City optional rider or New York City health plan, or are covered under their spouse’s/domestic partner’s NYC health plan.

This form is for retired members who have elected a non-New York City optional rider for health insurance or prescription plan, or are covered under their spouse’s/domestic partner’s non-NYC health plan.

For HIP subscribers only, includes a section for member and physician to fill out. Please attach original, itemized, paid bill showing date and item purchased.

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...

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.

Have you had to work beyond your regularly scheduled work day within the past 30 school days? If so, please provide us with specific details of what happened, when it happened, what if anything you did to try to rectify the problem, if you were...

If you are filing for workers’ compensation, you must file these forms:

Educational paraprofessionals should use this form for initial requests for leaves of absence as well as requests for extensions. Requests for extensions must be submitted prior to the date of expiration of the current leave.