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**Email this completed form to New York City DOE Division of

**Email this completed form to New York City DOE Division of 2026

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The document OSPRA 104 (08/21) is an authorization form for individuals previously fingerprinted for employment by the New York City Board of Education (NYCBOE) to permit the NYCBOE to forward their criminal history records to the New York State Education Department. It outlines the necessary sections to be completed by the applicant, including personal information and reasons for seeking clearance for certification or employment. The completed form must be emailed to the NYC DOE Division of Human Capital.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Section 1. Enter your name (last, first, middle), sex, home address, social security number, city/state/zip, telephone number, email address, and date of birth. Ensure all information is accurate to avoid processing delays.
Proceed to Section 2. Select one option that best describes your employment status with NYCBOE: whether you are leaving or have left, remaining for certification clearance, or seeking additional employment.
In Section 3, read and authorize the statement regarding the forwarding of your criminal history record. Sign and date the form at the bottom of this section.
Finally, navigate to Section 4 where you will find the email address for submission. Ensure that you send the completed form to HRCServiceCenter@schools.nyc.gov.

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Versions	Form popularity	Fillable & printable
2023	4.3 Satisfied (21 Votes)
2021	4.3 Satisfied (48 Votes)
2007	4.9 Satisfied (502 Votes)
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How do I contact NYC DOE salary differential?

To find more answers and information about Salary Steps and Differentials you can visit the HR Connect Web Portal . To access the portal, log in using your DOE Outlook credentials and select the category Salary Step, Differential Longevity. For more assistance, call HR Connect: (718) 935-4000.

What is the email format for NYC DOE?

Contacting Individual Offices Salary Services: SalaryDifferential/SalaryStepPlacement@schools.nyc.gov. Certification/Licensing: NYCDOECertUnit@schools.nyc.gov. Other OFIS inquiries: OFIS@schools.nyc.gov.

What is proof of residency for NYC DOE?

Email for 3-K, pre-K, kindergarten, and GT admissions: ESEnrollment@schools.nyc.gov. Email for middle school admissions: MSEnrollment@schools.nyc.gov. Email for high school and Specialized High Schools admissions: HSEnrollment@schools.nyc.gov. Email for middle and high school waitlist queries: Waitlists@schools.nyc.

How do I email the HRA in NY?

For general questions or issues with ACCESS HRA, you can also email the ACCESS HRA Helpdesk: accesshrahelpdesk@dss.nyc.gov.

How to contact NYC DOE payroll?

You can also call HR Connect at (718) 935-4000, Monday Friday from 9:00 a.m. to 5:00 p.m. Use the Payroll Portal to access your personal pay information, enroll in Direct Deposit and transit benefits, and more.

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