Use this form to request employment verification for pension purposes.

Use this form to decline all Welfare Fund benefits for yourself and eligible dependents. You must sign this form and have it notarized.

Use this form to decline Welfare Fund benefits for your eligible dependents. You must sign this form and have it notarized.

Use this form to decline Welfare Fund dental and/or vision benefits for yourself and eligible dependents. You must sign this form and have it notarized.

This form is used to request a correction or duplicate W-2 for the current tax year and/or the three previous years. Requests for earlier W-2s are handled by the Office of Payroll Administration or the Office of Employment Records Research.

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

This regulation sets forth the requirements for the following licenses: Pre-Kindergarten and Elementary School Teacher, Reading Teacher, Teacher of English as a Second Language, School Media Specialist (Library), Instructional Recorder, Teaching an...

The regulation sets forth the requirements for license of Teacher of Basic English as a Second Language to Adults, Teacher of Basic Literacy to Adults and Teacher of Occupational Subject to Adults.

This regulation prescribes the license requirements for Laboratory Specialists in Secondary Schools.

This regulation prescribes the requirements for license for School Psychiatrist.

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.

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.

These instructions explain how to fill out your dental claim form either after treatment or for pre-treatment estimates for more complicated procedures such as periodontic surgery, bridges, crowns, inlays, dentures and other procedures that cost over...

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...

Fill out and have this form notarized for your dependent child to ensure coverage by the UFT Welfare Fund benefit plan.

This fully explains the benefits available under the UFT Welfare Fund Direct Access Dental Plan (SIDS – Self-Insured Direct Services) and includes a subscription form at the end.