DOE media consent form for public schools

DOE form to apply for a reduction of probation period

Medicare Part B Income-Related Monthly Adjustment Amount (IRMAA) reimbursement form

Salary differentials application form used by F/Z/O status and Adult Education teachers

DOE media consent form for third party/nonprofit use

Open enrollment health benefits change form for active DOE employees from NYC Office of Labor Relations

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

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

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

Legal referrals injury claim form

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.

This form is used to request a Market Rate increase if you serve only children receiving child care assistance.

Eligible DOE employees who choose not to participate in the Teacher's Choice Program must complete this form and submit it to the Teacher's Choice Unit at the DOE by the due date indicated .

Members currently on a leave may use this form to request an extenuating circumstance for missing the deadline to submit your intention for the next school year or to modify your intention due to a material change.

PD19 form for Leave of Absence with Pay for Administrative Employees - including nurses and therapists

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.

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).

DOE form to receive salary credit for prior work experience

This form is used to request a Market Rate increase if you serve both children receiving child care assistance and children who do not receive child care assistance (private pay).

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.

Retiring members should complete this form if they are filing for retirement under the Qualified Pension Plan (QPP) and are Tax-Deferred Annuity (TDA) Program participants who want to defer distribution of their TDA funds past the date on which they...

UFT membership application for all DOE titles except paraprofessionals. Print, complete and submit this application form only if you are not able to use the UFT's online enrollment form.

Use this form to document a hazardous chemical exposure incident in your school. Parts I, II, and III of the form are included.

This form is for payroll secretaries.

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...

Use this form to request employment verification for pension purposes.

If you are filing for workers’ compensation, you must file these forms:

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...

Last updated, 3/28/23