--------------------The United Federation of Teachers in District 11 -------------------------------------Alice Cooper-Jackson, District Representative---------------------

Safety & Incident Forms

REPORTING FORMS:

UFT Safety Incident/Discipline Report Form

DOE Occurrence Report Form

A-443 Student Removal Form

Summary of Student Removal

INJURY IN THE LINE OF DUTY (ILOD)

Comprensive Injury Report - Part A

Comprensive Injury Report - Part B

Comprensive Injury Report - Part C

OP198 Absence Form

OP198 - Instructions

OTHER IMPORTANT FORMS & INSTRUCTIONS:

Hardship Transfer Application

Bloodborne Exposure Incident Reporting Form

OP200 Assignment Form

OP407 Confidential Medical

OP407 - Instructions

OP504 Claim for Loss Property

OP504 - Instructions

OP505 Accidental Medical Reimburse

OP505 Instructions

OP505A Assaults - Reimburse Medical

OP505A Instructions

FMLA Application