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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...

Union membership has its privileges

Membership in the UFT means never having to figure it out all alone, with union support and resources across the spectrum of financial, physical and mental wellness. Here is a list of resources available to UFT members.

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.