Complete this form to claim disability benefits only if your Workers’ Compensation claim has been rejected.
Forms for line of duty injuries
Most of the forms below are PDF files. If you encounter any problems viewing PDFs on your computer, you may need to install the free Adobe Reader software.
PLEASE NOTE: The “Application For Age 26 Young Adult Coverage” form is no longer required by the UFT Welfare Fund. Members wishing to add a dependent under age 26 to their Welfare Fund coverage at no cost should use the Welfare Fund’s online Update Your Information (Change of Status) form.
You should submit this report with your Educational Paraprofessional Leave Application to prevent the disruption of your major medical insurance.
Educational paraprofessionals should use this form for initial requests for leaves of absence as well as requests for extensions. Requests for extensions must be submitted prior to the date of expiration of the current leave.
Injury in the Line of Duty Instructions
This file summarizes procedures you should know regarding work-related injuries for pedagogical employees.
Injury in the Line of Duty Instructions
This file summarizes procedures you should know regarding work-related injuries for pedagogical employees.
Here is the form for an attending doctor to obtain medical authorization: