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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.
Medicare Part D Creditable Coverage Disclosure Notice
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...
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.
Personnel Memorandum #54, 1995-1996: Family and Medical Leave Act
The purpose of this memorandum is to describe the benefits and eligibility requirements of the Family and Medical Leave Act (FMLA).
Chief Executives' Memorandum #80, 1998: Performance Review and Professional Development Plan for Teachers
A summary of the recommendations in "Teaching for the 21st Century."
Teaching for the 21st Century
Guidelines for annual performance reviews including school-based professional development for New York City public school teachers.
Chancellor's Regulation C-175: Per Session Employment
This regulation governs the provision of per session services by pedagogic employees. It explains when per session may be served and sets forth the process to be followed for approval of per session hours.
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.
Special Circular #31, 1976-1977: Duties of School Secretaries
Duties of school secretaries and appropriate clerical duties of non-pedagogical personnel.
DOE Memo: Program Preference for Special Education Teacher Support Services (SETSS) and Collaborative Team Teaching
This memo, dated May 14, 2003, includes sample special education postings for SETSS and CTT assignments.
Chancellor's Regulation A-412: Security in the Schools
This regulation sets forth the reporting and notification requirements that school officials must follow when a school-related incident or crime occurs. It also establishes the school’s responsibilities when the police or other investigatory agency...
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.
Professional activity - sample menu
See a sample professional activity menu.
BRAVE Hotline flier English
Download and post this flier in your classroom to let students know about the BRAVE Anti-Bullying Hotline (in English).
BRAVE Hotline flier Spanish
Download and post this flier in your classroom to let students know about the BRAVE Anti-Bullying Hotline (in Spanish).
DOE guidance on bulletin boards
Guidance from the DOE on school bulletin boards with related student privacy guidance as posted in Principals Digest, 4/9/24.
DOE session time memo
DOE procedures for school session time reporting, updated yearly.
OLR guidance on SBOs and contractual workday
DOE Office of Labor Relations Guidance: UFT Contractual Workday and School-Based Options, updated yearly.