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Forms and Documents

Quick links to key forms.

C-3.3: Limited Release of Health Information (HIPAA)

This form allows health care providers who have treated your previous injuries to release information to your employer’s workers’ compensation insurer.

Drug Reimbursement Form for In-Service Members

Include all original pharmacy receipts with prescription detail clearly noted which must include the name, strength, quantity and price. Please attach to this form. Receipts must be mailed within 90 days from date of service. Reimbursement will be in...

Securing School Equipment

The following are proven hints and suggestions that will help to ensure that expensive equipment, including desktop and laptop computers, is kept safe and secure.

Occasional Per Diem Secretary's Handbook

The work you do as an occasional per diem substitute secretary is very important to students, faculty and colleagues. But despite the key role you play, you might find the process of actually getting a job to be complicated and often frustrating. Don...

Employment Records Research Request Form

Use this form to request employment verification for pension purposes.

OP 160: Leave of Absence Without Pay

All pedagogical personnel may apply for a medical leave of absence without pay only when they have exhausted all of their Cumulative Absence Reserve (CAR) days. This application must be completed, signed and submitted to HR Connect for approval...

Special Circular #6R, 1997-1998: Elimination of Administrative Duties

Procedures for implementation of the provision of the agreement covering teachers regarding the "elimination of administrative duties and provision of professional activity options" for 1998-1999.

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.

Opening day faculty conference school safety presentation deck

Opening day emergency procedures and violence prevention training, DOE presentation deck

Testimony on streamlined college acceptance of NYC public high school graduates

Janella Hinds, UFT Vice President for Academic High Schools, delivered testimony before the New York City Council Education Committee and Higher Education Committee on streamlining college acceptances for NYC public high school graduates.

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.

Instructions to download W-2 tax forms from NYCAPS Employee Self Service (ESS)

See instructions with screenshots to download and print your W-2 tax form from the DOE's NYCAPS Employee Self Service (ESS) platform.

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.

Retiree Toolkit: Turning 65/Applying for Medicare

Booklet about applying for Medicare once a member turns 65