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Premiums paid by the City during the period of unpaid leave may be recovered if the employee fails to return to work. Form EB-1054 Health Benefits Report/Inquiry must be filed by the responsibility center/school with the Medical Leaves and Benefits Office 65 Court Street Brooklyn New York 11201. Form EB-1054 Health Benefits Report/Inquiry must be filed by the responsibility center/school with the Medical Leaves and Benefits Office 65 Court Street...

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What is uft medical leave form?

UFT medical leave form is a document that allows UFT members to request and document their need for medical leave.

Who is required to file uft medical leave form?

Any UFT member who needs to take medical leave is required to file the UFT medical leave form.

How to fill out uft medical leave form?

To fill out the UFT medical leave form, you need to provide your personal information, details of your medical condition, expected duration of leave, and any supporting documentation.

What is the purpose of uft medical leave form?

The purpose of the UFT medical leave form is to inform the UFT and your employer about your need for medical leave and to ensure proper documentation and understanding of your situation.

What information must be reported on uft medical leave form?

The UFT medical leave form typically requires reporting personal information, details of the medical condition, expected duration of leave, and any supporting documentation such as medical certificates or doctor's notes.

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