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...

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 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).

DOE media consent form for third party/nonprofit use

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

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.

Use this form to request employment verification for pension purposes.

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

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...

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

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...

The DOE will reimburse you up to $500 per school year for stolen or destroyed property such as loss or damage to personal clothing and personal accessories. For reimbursement of eyeglasses damaged in assault cases, use form OP 505G.

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

All pedagogues and paraprofessionals may use this form to donate sick time to a colleague. The recipient receives one day for every two days donated. Sick leave transfer rules are on page 2 of the form.

View or download the Green Apple guide to UFT Welfare Fund health benefits for in-service members and their families.

Here is the form for an attending doctor to obtain medical authorization:

Last updated, 3/28/23

Complete this form to claim disability benefits only if your Workers’ Compensation claim has been rejected.

This form is used to transfer accrued per-session sick leave to the employee's regular cumulative absence reserve.

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

Workers’ compensation intake form for Paraprofessionals, School Nurses, Occupational and Physical Therapists:

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.