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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.
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...
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.
Gathering SESIS information in preparation of a union-initiated grievance
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...
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.
Dental Claim Form
After you have read the dental claim form instructions (below) you are ready to fill out the dental claim form as needed.
School Nurse Timesheet
Office of School Health Time Report for Nurses.
Facility-Wide Inventory of Mercury and Mercury-Containing Devices
Especially for Lab Specialists. Use Page 1 to document the presence of mercury in a science room.
Extended Session Grievance Form, Step 1
Extended Session Teacher/Student Ration Fact Sheet
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.
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 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...
DOE sabbatical memo
Timeline and guidelines for applying for sabbaticals
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.
Federation of Nurses/UFT COPE Deduction Authorization Form
Authorization for voluntary deduction.
Market Rate Application Form – Registered Family and Licensed Group Providers
Registered family and licensed group providers whose rates listed on file with ACS are not already higher than the 2007 market rate should use this form to apply to receive the new market rate moving forward and retroactively.
Market Rate Application Form – Informal Providers
Moving forward, all informal providers will receive the standard 2007 market rate without having to apply. In order to receive the 2007 rate retroactively, informal providers must apply for it and attest that their cost of care has increased. Please...
Training Record Form – Informal Providers
Informal providers should use this form to record any training sessions they attend. Informal providers who complete 10 or more hours of approved training in at least two different approved topics may be eligible to receive a higher, "enhanced"...
Provider/Program Enrollment or Update Request Form
Administration for Children's Services Division of Child Care/Head Start Child Care Support Services; Provider / Program Enrollment or Update Request
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.
Retiree Toolkit: Turning 65/Applying for Medicare
Booklet about applying for Medicare once a member turns 65
Disabled Dependent Child Affidavit
Fill out and have this affidavit notarized to cover unmarried children over age 26 who cannot support themselves because of a mental illness, developmental disability, mental retardation or physical handicap under the UFT Welfare Fund Benefit Plan....