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EB1054 Health Benefits Report/Inquiry

You should submit this report with your Educational Paraprofessional Leave Application to prevent the disruption of your major medical insurance.

Employment Records Research Request Form

Use this form to request employment verification for pension purposes.

Membership Application (all DOE titles except paraprofessionals)

UFT membership application for all DOE titles except paraprofessionals. Print, complete and submit this application form only if you are not able to use the UFT's online enrollment form .

UFT Welfare Fund Health Plan Comparison Chart Wall Chart

Summary comparison of health plans for employees and those retirees not eligible for Medicare.

UFT Welfare Fund Summary of Benefits and Coverage

The Affordable Care Act requires group health plans to provide a Summary of Benefits and Coverage (SBC) to plan participants so they may better understand their coverage. In compliance with this law, the UFT Welfare Fund has completed an SBC...

Application for Retirement Leave of Absence (Terminal Leave)

Pedagogues and paraprofessionals use this form to apply for a retirement leave of absence. For every two days in the employee’s sick bank, one day of terminal leave is granted. The form must be filed 30 days in advance of the leave. The leave can...

CAR Transfer Form

All pedagogues and paraprofessionals may use this form to donate sick time to a colleague. The recipient receives one day for every two days donated. Sick leave transfer rules are on page 2 of the form.

Dentcare HMO brochure

Brochure for Dentcare HMO