UFT
Nurse/Therapist General Salary Inquiry Form
This form is for general salary inquires. For inquiries regarding the overtime waiver cap, please use the
overtime waiver cap inquiry form
.
Please do not use this form for questions regarding contractual increases or payments.
Is your question regarding the overtime waiver cap?
*
Yes
No
Name
*
First
Last
Employee ID Number
*
Title
*
Select one:
Nurse
Therapist
Nurse Supervisor
Therapist Supervisor
Phone Number
*
###
-
###
-
####
Non-DOE Email
*
Borough
*
Select one:
Bronx
Brooklyn
Manhattan
Queens
Staten Island
District
*
Select one:
BASIS HS
Bronx HS
Brooklyn HS
Manhattan HS
Queens HS
Staten Island HS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
75
79
School Site
*
What is your question regarding?
*
Experience differential
Education differential
Longevity
Other
Please check all that apply.
Please detail your concerns.
*
1
/
2
Do Not Fill This Out