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Forms and Documents

Quick links to key forms.

Soak up the sun safely

Days are longer and the sun’s rays don’t only help flowers bloom — they also have a way of making us feel happier and more energized. So embrace your inner sun worshipper and enjoy the benefits of the season.

How may I choose or change a beneficiary?

New members receive a “Designation of QPP (Qualified Pension Plan) Beneficiary Form” with their TDA enrollment application and should file both forms together. Participants in the Tax Deferred Annuity Program should designate a beneficiary for their...

How do Career and Technical Education (CTE) teachers apply for salary credit for prior work experience?

To apply for salary credit for prior work experience, CTE teachers must fill out the DOE’s credit for prior experience form and email it to SalaryDifferentialApplications [at] schools [dot] nyc [dot] gov (SalaryDifferentialApplications[at]schools[dot]nyc[dot]gov) See more about salary differentials and prior work experience...

Optional Rider Claim Form - NYC Health Insurance Plans

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.

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.

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...

Provider Wellness: Financials

Will I have to provide financial documents in order for Provider Wellness to determine what level of benefits I qualify for? No. Provider Wellness is open to all NYC-based family child care providers with at least one HRA/ACS child in care...

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...

Special Education Services as Part of a Unified Service Delivery System

The Continuum of Services for Students with Disabilities

Special Education Services as Part of a Unified Service Delivery System

(The Continuum of Services for Students with Disabilities)

Student Intervention and Discipline Code and Bill of Student Rights and Responsibilities - Grades K-5

Included in this document is the Student Bill of Rights and Responsibilities which promotes responsible student behavior and an atmosphere of dignity and respect by establishing guidelines to help students as they strive to become productive citizens...

Student Intervention and Discipline Code and Bill of Student Rights and Responsibilities - Grades 6-12

Included in this document is the Student Bill of Rights and Responsibilities which promotes responsible student behavior and an atmosphere of dignity and respect by establishing guidelines to help students as they strive to become productive citizens...

Starting a school-based committee to defend immigrants - slide deck presentation

Starting a school-based committee to defend immigrants (CDI) - slide deck presentation

I stopped receiving UFT mail, including the New York Teacher. What do I do?

To find out if we have your correct address on file and to update it if we don’t, the quickest way is to log in to the UFT website and go to "My Account" in the top right corner. From the My Account page, you can access our online change of address...

Will I forfeit my Teacher’s Choice payment if I do not submit receipts for my purchases?

If you receive Teacher’s Choice funds in your paycheck and do not submit an accountability form with receipts by the January deadline, the DOE will take back the money from a future paycheck.

Application for a reduction to probation period

DOE form to apply for a reduction of probation period

DOE media consent form for public schools

DOE media consent form for public schools

Chemical Removal Request Form

This form for Lab Specialists is taken from the DOE Science Safety Manual.

UFT personal information change form

Use this form to notify the UFT about a change of name, a change of address or a change of telephone number.

UFT Incident Report

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.

Application for seniority credit for prior paraprofessional service - DOE form

This form is to be used to receive seniority credit for prior paraprofessional service by pedagogical personnel who have received a regular appointment.

Durable Medical Equipment Deductible Reimbursement Form - NYCE PPO in-service subscribers only

For NYCE PPO in-service members only, the Welfare Fund will reimburse up to $100/year of the deductible for the purchase or rental of durable medical equipment, with this form and an original Explanation of Benefits (EOB).

Optional Rider Claim Form - Non-NYC Health Insurance Plans

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.

UFT Health & Safety training request form

The UFT Health & Safety Department offers workshops on health and safety issues on staff development days, union meetings, etc. If you would like to have one of these workshops offered to your chapter, please fill out this form and send it to the...