IMPORTANT!

Member Update: Email address changed recently? Move to a new house? New phone number? It is important to keep your personal information current with the BTF. Use the link to update any information that has recently changed.

Membership Contact Information Update




BTF OFFICER ELECTION NOMINATION FORM


This nomination form shall be postmarked no earlier than March 14, 2019 (Thursday) and no later than March 28, 2019 (Thursday).  If returned by mail, it must be sent certified mail, return receipt requested, to the BTF offices and shall arrive no later than 4:00 P.M. on April 2, 2019 (Tuesday) and shall be addressed to the attention of Janine Williams, Elections Committee Chairperson.


BTF Forms

(SBF Forms Further Down)

Discipline Section of
the CBA (
Article 18)

Form

BUFFALO CITY SCHOOL DISTRICT WAIVER INCENTIVE PROGRAM

Class Size Log

Class Size Log
2018-2019
Overage Claim

Class Size Log

 

Letter to Delegate Chairs
Re: New Teacher Annual Professional Performance
Review (APPR)/Evaluation Document

Form

(click on form image to download)


 

APPR
Annual Professional Performance Review

 


 

Sample Retirement Letters

The processing of your retirement benefits may be facilitated by sending copies of your letter of retirement to:

Herbert Cadle, Director Wage/Salary and Operations
Buffalo Board of Education
65 Niagara Square
City Hall Room 719 A
Buffalo, NY 14202

Jamie Warren
Superintendent for Human Resources
Buffalo Board of Education
65 Niagara Square
City Hall, Room 720
Buffalo, NY 14202


Mary O’Shei
Benefits Manager
Buffalo Board of Education
65 Niagara Square
City Hall Room 806
Buffalo, NY 14202

Intention to Retire

Retiring and Eligible

Retiring and NOT Eligible

(for Early Retirement Incentive or Termination Compensation)

 


Click Here for the Online Member Information Update


 

Sample Transfer Request Letter
Transfer Requests (Due March 23rd)

BTF Grievance Form


Board Residency Policy - Q&A

 


 

Supplemental Benefit Fund Forms


Prior to receiving SBF benefits, the following must be completed.
(All enrollment cards may be obtained by calling the SBF office at 881-5462)

Blue Supplemental Benefit Enrollment Card:
The enrollment card MUST be completed and or updated before any
BTF member or dependent can receive SBF reimbursements.

Green Death Benefit Card:
The BTF/SBF provides a free Death Benefit for BTF members. The green
benefit card allows a member to specify their chosen beneficiary.


Sick Leave Bank Cards (2):
Membership in the Sick Leave Bank is optional. There are specific
rules governing enrollment. Please see below for more details.


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SBF Claim Forms and Guidelines

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Dental Forms

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Dental Claim Form

Dental Brochure

Dental Payment
Schedule


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Optical Forms
Itemized, Paid Receipts Must Accompany ALL Claim Forms

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Optical
Claim Form

Optical
Guidelines

Optical Extended
Benefits

Optical Payment
Schedule


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Prescription Copay Forms

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* SBF RX Copay Claim Form
Other Information
(regarding due dates
and changes in plan)


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Death Benefits Guidelines

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(summary of the benefits)

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Sick Leave Bank
Guidelines
(Aug. 2014)

Sick Leave Bank
Enrollment Deadline

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SLB Enrollment Deadline

Information on how to
change or use your
donated sick leave days

Other Guidelines
(regarding enrollment changes)




How To Appeal A Claim

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(questions or disagreements with a denied claim; Dental, Optical or Copay)

 



DISTRICT FORMS

 

BPS Prescription Co-pay Overage Form
(for co-pays that exceed $5 and $10)

DO NOT USE THIS FORM TO SUBMIT THE $2.00 CO-PAY TO BTF

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This forms needs to be sent to the address
at the bottom of the form NOT to the BTF!

 

 

BTF Incident Report