This form details the nature of your injuries. It should be turned in to your principal within 24 hours of your accident or illness.

Use this confidential form to notify the UFT School Safety Department if you have been the victim of an incident and/or injury. Or fill out the online incident report form.

June 20, 1997

This legal form, which must be notarized, states that if you sue the DOE and win, you will return the money paid to you in salary for the period of your absence.

The DOE will reimburse you up to $100 for stolen or destroyed property, but only if the property is of the type that is normally brought into school. For reimbursement of eyeglasses damaged in assault cases, use form OP 505G.

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 $750.

October 4, 1993

Workers’ compensation intake form for Paraprofessionals, School Nurses, Occupational and Physical Therapists:

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...

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.