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Declination of Welfare Fund Benefits - All Benefits
Use this form to decline all Welfare Fund benefits for yourself and eligible dependents. You must sign this form and have it notarized.
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.
Dental Schedule
For Welfare Fund members who are using a non-participating dentist, your reimbursement will be according to this dental fee schedule; for those using a participating dentist, there will be no cost to the member except for co-pays listed in this...
Chancellor's Regulation A-449: Safety Transfers
This regulation sets forth the procedures for granting safety transfers (1) when students are victims of a violent criminal offense on school property; and (2) in other situations, when it is determined that a student’s continued presence in the...
Declination of Welfare Fund Benefits - Dental and/or Vision
Use this form to decline Welfare Fund dental and/or vision benefits for yourself and eligible dependents. You must sign this form and have it notarized.
DOE Advance overall ratings guide
A DOE guide to understanding your overall rating, for teachers covered under the Advance evaluation system.
Dentcare HMO brochure
Brochure for Dentcare HMO
Prescription Appliance and/or Medical Equipment Claim Form - HIP Subscribers Only
For HIP subscribers only, includes a section for member and physician to fill out. Please attach original, itemized, paid bill showing date and item purchased.
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
Documents required for dependent health benefits
List of supporting documents required for enrolling dependents in health benefits
Chemical Inventory Form
Form and instructions from the DOE Science Safety Manual.
RFA-1W (Request for Assistance by Injured Workers) - Workers Compensation form
File this form and any attachments with the Workers' Compensation Board when you want the board to take a specific action in your claim, or if you need to alert the board to any problem or situation that is affecting your claim. Many of the most...