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Required DOE forms to file for Workers' Compensation
If you are filing for workers’ compensation, you must file these forms:
Educational Paraprofessional Leave Application
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.
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.
Application To Purchase Age 29 Young Adult Coverage - UFT Welfare Fund Benefits Only
Complete a separate application for Young Adult Coverage for each dependent child between the ages of 26-29 for whom you are requesting coverage by the UFT Welfare Fund.
Medicare Part D Reimbursement Claim Form
This is your Medicare Part D Reimbursement Claim Form, for retired members and their spouses/domestic partners.
Legal Referrals Form
Legal referrals injury claim form
Membership Application (Paraprofessional)
Print and complete the paraprofessional application only if you are not able to use the online enrollment form.
Membership Application (Retired Teachers)
Print and complete the retired teachers’ application only if you are not able to use the online enrollment form.
Membership Application (all DOE titles except paraprofessionals)
UFT membership application for all DOE titles except paraprofessionals. Print, complete and submit this application form only if you are not able to use the UFT's online enrollment form.
Salary Upgrade Guide for Paraprofessionals
A step-by-step guide for paraprofessionals applying for salary upgrades.
UFT Welfare Fund step therapy
Step Therapy is a program especially designed for people who take prescription drugs regularly to treat ongoing medical condition(s). The program is a new approach to getting you and your family the prescription drugs you need.
DP-2000 Election of Rate of Charge Against Annual and/or Sick Leave Balances for Absence Due to Injury Sustained in the Performance of Official Duties
Injured employees should submit this form within the first seven calendar days of absence due to injury sustained in the performance of official duties.
SOLAS FAQ
Get answers to frequently asked questions about the DOE's Self-Service Online Leave Application System (SOLAS).
Advance at a Glance - key dates for teacher evaluation
Key Dates and Reminders for the School Year
Measures of Student Learning (MOSL) Guide
A DOE guide to Measures of Student Learning (MOSL) in the teacher evaluation system.
Salary Application System Guide: Differentials
A guide to applying for a salary differential on the DOE's salary application system.
Salary Application System Guide: Differentials and Steps
A guide to applying for salary steps and differentials on the DOE's salary application system.
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.
Salary Application System Guide: Steps
A guide to applying for a salary step on the DOE's salary application system.
Advance FAQ
See answers to frequently asked questions about the Advance evaluation system in this DOE FAQ.
Teachers Choice Accountability Form
Teacher's Choice participants use this form to inform their school principal of purchases made with Teacher's Choice funds. Once completed, attach all original receipts/invoices and submit to your school principal for review.
Teacher salary differentials application form
Salary differentials application form used by F/Z/O status and Adult Education teachers
Documents required for dependent health benefits
List of supporting documents required for enrolling dependents in health benefits
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.
Dentcare HMO brochure
Brochure for Dentcare HMO
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...
DOE Payroll Administration Memorandum - new process for mailing paper checks
As of Oct. 2024, DOE employees not enrolled in direct deposit and are not in the H/Z bank payroll system will have their checks mailed to their address on file with the DOE directly from JP Morgan Chase bank. The NYCPS Bureau of Check Management will...
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...