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Forms and Documents

Quick links to key forms.

Child Care Coverage Request Form

Members on an approved Child Care Leave who are currently covered by the UFT Welfare Fund are eligible to receive extended UFT Welfare Fund benefits for up to a maximum of six (6) consecutive months for the birth or adoption of a child.

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.

Chancellor’s Regulation A-710: Section 504 Policy and Procedures for Students

This regulation sets forth the policies and procedures of the New York City Department of Education (DOE) for students attending DOE schools and programs who are qualified individuals with disabilities as defined in §504 of the Rehabilitation Act of...

Dental Enroll/Transfer Form

As a new member you are automatically enrolled in the Scheduled Benefit Plan. If you wish to enroll in one of the other UFT Welfare Fund dental options use this form. All other members and retirees who wish to transfer from one UFT Welfare Fund...

Chancellor’s Regulation A-715: Administration of Epinephrine to Students with Severe Allergies

This regulation sets forth a plan to reduce the risk of exposure and allow treatment with single-dose epinephrine auto-injector devices ( “epi-pens”).

Parent Engagement and List of Activities (2023 MOA) Appendix G 2023

Amend Article 6B1d of the Teachers’ CBA and Article 4B2 of the Paraprofessional CBA to include:

Article Twenty-Two — Grievance Procedure

It is the declared objective of the parties to encourage the prompt and informal resolution of employee complaints as they arise and to provide recourse to orderly procedures for the satisfactory adjustment of complaints. A resolution should occur at...

UFT Consent Form

Consent to name, photograph, film or videotape a student for non-profit use.

Presentation: Another Look at Bullying

Presentation given at the Sixth Annual Guidance Counselor Conference, Jan. 30, 2010. Helen M. Garinger, Ph.D.

Chancellor's Regulation A-701: School Health Services

The New York City Department of Health and Mental Hygiene is responsible for providing health services pursuant to the New York City Charter and the New York City Health Code. The Department of Education of the City of New York is responsible for...

Chancellor's Reg. A832 re student-to-student discrimination, harassment, intimidating and/or bullying

Chancellor's Regulation A-832: This regulation establishes a procedure for the filing, investigation, and resolution of complaints of student-to-student discrimination, harassment, intimidation, and/or bullying.

Chancellor's Regulation A-670 re school trips

Chancellor's Regulation A-670 re school trips

MAP mental health referrals

MAP mental health referrals - list of contacts

Chancellor's Regulation C-175: Per Session Employment

This regulation governs the provision of per session services by pedagogic employees. It explains when per session may be served and sets forth the process to be followed for approval of per session hours.

IRMAA and Medicare Reimbursement Timeline

Reimbursement timeline for Medicare Part B and IRMAA

21 Reasons to Join the Retired Teachers Chapter

Thirteenth Edition. Includes the essential New Retiree Checklist.