DHR Forms and Personnel Memoranda

E-mail to a friend E-mail to a friend

Personnel Memoranda: 

Click to view  Personnel Memoranda. 


On-Boarding:

Conditional Offer of Employment Medical Form

WEP Request Form

DHR Internet Policy Request Form

Designation of Beneficiary

Chapter 68: Conflict of Interest Form

Pamphlet COIB-DOE

OP-4444 - Employment Relationship with Family

Disclosure of Misconduct Form

Parent Coordinator Handbook

Rules and Regulations Governing Administrative Employees


Pre-Employment Background Checks:

OSPRA 103
When submitting the OSPRA 103, the Fingerprint Referral Form and I-9 Form are also required, including a clear copy of each acceptable document that is used to show eligibility to work in the United States.

OSPRA 104

Mantoux Test Form

Fingerprint Referral Form

I-9 Form


Personal and Tax Data Changes:

Personal and Tax Data Change form
The Personal and Tax Data Change form replaces the formerly used OP-85 form. Make sure to use this form to make any necessary tax and data changes.

W4 (2008)

IT-2104 (2008)

IT-2104E (2008)

Withholding Certificate Affirmation


Payroll:

DOE Payroll Administration Forms

New York City Office of Payroll Administration

Direct Deposit Form
Visit the Division of Financial Operations' Direct Deposit Web page for more information.


Salary Services:

Salary Upgrade Form for Educational (UFT) and Family (DC37) Paras

Teacher Salary Step Application

Teacher Salary Differential Application

School Professional Salary Step Application

School Professional Salary Differential Application

Commencement of Service Form

Restoration Form

Reversion Form


Teacher Employment Verification:

Employment Verification Form


Health Benefits:

ERB Health Benefits Application

Designation of Beneficiary

Health Benefits Report Inquiry

Medical Spending Conversion Form (Plan Year 2008)

Medical Spending Conversion Form (Plan Year 2009)

COBRA Continuation of Coverage for Healthcare Application (and rates)
For more information, visit http://www.cobrainsurance.com/.


Leaves:

OP 8: Application for Sabbatical

OP 160: Leave of Absence Without Pay

PD 6 : Leave of Absence for Health Reasons

Form 9902 Page 1 and Form 9902 Page 2

Family Paraprofessional & Hourly Non-Competitive Employee Leave Application

Leave of Absence With Pay Recommendation Form

Educational Paraprofessionals - Leave Application

UFT Educational Paraprofessionals - Borrowing Sick Days Application

Administrative and Pedagogical Staff - Request for leave under the family and medical leave act (FMLA)

OP 198 (Application for Absence due to Personal Illness-Sick Leave) and OP 198-Part 2

PD 19 (Application for Excuse of Absence with Pay for Administrative Employees)

OP 201 (Application for Excuse of Absence without Pay and/or as Non-Attendance for Teachers)


Medical:

Mantoux Test Form (TB Test)

Free Mantoux Tests

OP 407 Page 1 (Medical Report and Evaluation) and OP 407 Page 2 and OP 407 Instructions

Claim for Loss or Damage of Personal Property Form and Instructions

OP 505 Accident Medical Expense Reimbursement Form and Instructions

OP 505A Assault Medical Expense Reimbursement Form and Instructions

Hardship Transfer Application


Excessing, Transfers, Job Changes:

Application for Reduction of Probationary Service

Application for Layoff Seniority Credit for Paraprofessional
Service


Professional Development:

Summer Stipend Application

Bilingual Pupil Services Application

Supervising School Aide Training 2008-09

Supervising School Aides Steps for Selection Process


Recruitment and Selection:

Family Worker and School Aide Application

Substitute Teacher Application Packet:
The New York City Department of Education is in the process of updating its Substitute Teaching application process.  At this time, NO NEW APPLICATIONS will be accepted without the written request of a school principal. Please check this website again in early November 2008 for the revised application process.

Pedagogical Lic. / Secretary and Lab Specialist

Assignment to Evening High Schools 2005-2006

Application for Parent Coordinator

Applications to become a teacher are submitted electronically at http://www.teachnyc.net.


Certification and Credentialing:

Substitute Teacher Application Packet

Pedagogical Lic. / Secretary and Lab Specialist

Lab Specialist Exam Announcement (Fall 2007)

DOE Road to Certification Workshop Application
Various school, district and regional based positions require New York State certification. New York State certification is obtained through the New York State Education Department (NYSED).

Visit the NYSED Web site for additional information regarding certification.


Scholarships and Special Programs:

School-Based Option Submission Form


Incentives and Discounts:

Verizon Employee Enrollment Form

Transit Benefit Enrollment Form

Transit Certification Form (lost, damaged, or undelivered cards)


Separation of Service:

Application for Withdrawal of Resignation/Retirement

Mantoux Test Form (TB Test)

Free Mantoux Tests

Commencement of Service

Authorization for Release of Information


DOE NYCAPS Central

NYCAPS laisons and users, click to access DOE NYCAPS Central.