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HIPAA: Privacy Practices Statement
Read this notice of privacy practices to understand how protected health information about you may be used and disclosed and how you can get access to this information.
HIPAA: Personal Representative Form (PR Form)
You can choose a personal representative(s) to share your health information with by filling out this form.
HIPAA: Protected Health Information Authorization Form (PHI Form)
You may authorize the UFT to use/disclose your protected health information by filling out this form.
In Hospital Private Duty Nursing Care Claim Form - HIP Subscribers Only
For HIP subscribers only, use this In-Hospital Private Duty Nursing Claim Form for the UFT Welfare Fund to cover the costs, after a 72-hour deductible, of 80% of the usual and customary costs of in-hospital services provided by a registered nurse...
Mandatory Generic Price Waiver Form
This price waiver form must be completed by both the member and his/her physician in cases where a brand rather than generic prescription is deemed medically necessary.
Creditable Coverage Disclosure Notice - Medicare
For members: this notice has information about your current prescription drug coverage with the UFT Welfare Fund and your options under Medicare’s prescription drug coverage. Please read carefully.
Optional Rider Claim Form - NYC Health Insurance Plans
This form is for retired members who have elected a New York City optional rider or New York City health plan, or are covered under their spouse’s/domestic partner’s NYC health plan.
Optional Rider Claim Form - Non-NYC Health Insurance Plans
This form is for retired members who have elected a non-New York City optional rider for health insurance or prescription plan, or are covered under their spouse’s/domestic partner’s non-NYC health plan.
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.
Dental Schedule
For Welfare Fund members who are using a non-participating dentist, your reimbursement will be according to this dental fee schedule; for those using a participating dentist, there will be no cost to the member except for co-pays listed in this...
Personnel Memorandum #4, 2002-2003: Policy and Procedures on Line of Duty Injuries for Pedagogical Employees
This circular consolidates and updates the Department of Education’s policies and procedures on line of duty injuries for pedagogical employees previously detailed in Special Circular No. 32, 1989-90: Personnel Memorandum No. 19, 1986-87 and...
Chancellor's Regulation C-606: Time Off for Religious Observance
Accommodations and procedures for requesting time off for religious observance.
DOE Memo: Continuation of Extended Rights and Benefits for Military Leave
This memo, dated Dec. 13, 2002, details the Department of Education's policy regarding the city's Extended Military Benefits Package.
Heads of Bureau Circular #11, 1973-1974: Maternity and Child Care Leaves
Regulations governing leaves of absence for maternity and/or child care for administrative (non-pedagogical) staff. Page 1 of this document is Heads of Bureau Circular #15, 1975-1976, which amends a section of Circular #11.
Chancellor's Regulation A-414: Safety Plans
Maintaining a safe and secure school environment is the shared responsibility of the entire school community, including school safety, pedagogical, non-pedagogical and custodial personnel, parents, and students. As part of a continuing effort to...
Chancellor's Regulation A-432: Search and Seizure
This regulation sets forth the standards and procedures by which students may be searched individually and by metal detectors.
Chancellor's Regulation A-443: Student Discipline Procedures
This regulation contains disciplinary procedures for all students, whether in general or special education, grades K-12.
Chancellor's Regulation A-449: Safety Transfers
This regulation sets forth the procedures for granting safety transfers (1) when students are victims of a violent criminal offense on school property; and (2) in other situations, when it is determined that a student’s continued presence in the...
Chancellor's Regulation A-450: Involuntary Transfer Procedures
This regulation governs the involuntary transfer of students in general education, grades K-12.
Per Session: Employee Guide to Rules and Regulations
A Q&A on per-session employment.
Credits Earned in Excess of Degree Requirements
This document describes the proper format for a letter from your college or university for the purpose of using "excess credits" toward your BA +30 or +60 differentials.
Promotional Differential - Area of Specialization
This document from the Bureau of Salary Differentials and Status describes the requirements for approved areas of specialization.
Guide to Salary Steps and Salary Differentials
This guide explains how teachers can apply for salary step placement and differentials, and provides salary differential information for school social workers, school psychologists, guidance counselors and laboratory specialists.
School Nurse Timesheet
Office of School Health Time Report for Nurses.
Presentation: Advocacy and School Counselor Identity
Keynote presentation delivered at the Sixth Annual Guidance Counselor Conference, Jan. 30, 2010. John Pellitteri, Ph.D. Associate Professor & Counseling Program Director, Queens College, CUNY President-elect, NYSSCA
Presentation: Aligning Your Guidance Curriculum with the ASCA/NYSSCA Model
Presentation given at the Sixth Annual Guidance Counselor Conference, Jan. 30, 2010. Lourdes M. Rivera, Ph.D. Eberto Pineiro, MS Ed. Meredith Rosenblatt, MS Ed.
Presentation: Another Look at Bullying
Presentation given at the Sixth Annual Guidance Counselor Conference, Jan. 30, 2010. Helen M. Garinger, Ph.D.
Presentation: Collaborative Career Development Intervention in Schools
Presentation given at the Sixth Annual Guidance Counselor Conference, Jan. 30, 2010. Lourdes M. Rivera, Ph.D. Eberto Pineiro, MS Ed. Meredith Rosenblatt, MS Ed.
Developing and Managing Your Elementary and Middle School Guidance and Counseling Programs
A slideshow from the DOE Office of School and Youth Development.
Developing and Managing a High School Guidance and Counseling Program
Presented at the New Counselor Workshop, Wednesday, Oct. 28, 2009.
High School Guidance Counselor Guide
Compiled by the Guidance Department of August Martin High School.
Mandated Counseling Procedures
A DOE slideshow on the procedures involved in mandated counseling.
Resource Guide for Guidance Counselors
Guide for students, professionals and families listing support services in the New York metropolitan area. Compiled in the fall of 2009 by the following students of the school counseling graduate program at Queens College: Yahaira Bello, Crystal...
Guidance Review Card
Guidance counselors are required to complete Guidance Review Cards for students in grades 7-12. According to Section 100.2 of the Regulations of the Commissioner of Education, "In grades 7-12, the guidance program shall include the following...
IVR Instructions
First attendance reporting system for related and support services, special education teacher support services (SETSS) and ESL.