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Forms and Documents

Quick links to key forms.

Anesthesia Benefit Claim Form - HIP Subscribers Only

Although the cost of anesthesia for hospitalization, emergency illness or accidental injury should be covered in full by HIP/HMO, the Welfare Fund will pay 80% of reasonable, usual and customary charges when not covered by HIP/HMO.

Retiree Toolkit: SHIP Coverage

See descriptions and details of SHIP benefits for retired members.

UFT Disaster Relief Fund Application Form 34 - Northeast Flood

Purpose: The purpose of the Relief Fund is to provide financial assistance to members who have incurred extraordinary losses, not covered by insurance or emergency agency reimbursements. Eligibility: All UFT in-service or retired members and its...

Transit Benefit Program Enrollment Form

Save more than $200 each year in taxes by participating in the city’s TransitChek program.

3-5 Next Generation ELA Standards at a Glance

3-5 Reading Standards (Literary and Informational Text) Review the 3rd, 4th, and 5th grade ELA introductions for information regarding: guidance and support, range of student reading experiences, text complexity, English language learners...

HIPAA: Personal Representative Form (PR Form)

You can choose a personal representative(s) to share your health information with by filling out this form.

DOE lactation accommodation policy for nursing mothers

DOE lactation accommodation policy for nursing mothers, updated for 2024-25 school year and supersedes all prior policies.

TRS brochure: transfers to TRS from BERS - steps to file and FAQ

TRS brochure: transfers to TRS from BERS - steps to file and FAQ

UFT ACTS, Teaching for Social Justice: Charter School Perspectives

Join fellow charter school educators and expert scholars for a series of workshops planned by teachers, for teachers. Gain practical professional development experience and network with other charter teachers. You will receive a certificate of...

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.

Memorial Sloan Kettering breast cancer self exam guide

MSK Direct breast cancer self exam guide

Request for Payment of Overtime

This form is used by school nurses and occupational and physical therapists.