How to Complete the NYC 175 Op Form

The NYC OP-175 form is required for all NYC Department of Education employees seeking per session work. Officially named the Application for Per Session Employment and Claim for Retention Rights, this document is governed by Chancellor's Regulation C-175. It must be submitted and approved before any per session activity begins, covering the 400-hour annual cap, retention rights claims, mandatory site-based clocking, and supervisor pre-approval.

Key provisions of Chancellor's Regulation C-175 that the OP-175 form enforces:

The supervisor review process is a critical step. After the employee completes and signs the Declaration section, the Per Session Program Supervisor must sign Part 2 before the employee starts any work. The signed form is then filed with the school's administrative office. Copies may be requested by the district per session coordinator for record-keeping purposes. Employees are advised to keep a signed copy for their own records.

NYC DOE employees often need related documents when submitting the OP-175. The NYC Form OP-175W is the companion waiver request for employees approaching the 400-hour limit. For payroll and HR documentation, see the DOE 403(b) and DOE OHR 300-001 forms. Browse a full library of employment forms for NYC DOE staff at FormsPal.

QuestionAnswer
Form Name175 Op Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesnyc doe op 175, which retention rights, op 175, op 175w

Form Preview Example

Chancellor’s Regulation C-175

2020-2021 APPLICATION FOR PER SESSION EMPLOYMENT AND CLAIM FOR RETENTION RIGHTS (OP-175)

Directions: This form must be completed and submitted to the per session supervisor prior to commencement of employment in a per session activity. A copy of this form must be retained by the per session supervisor. An applicant who wishes to claim retention rights must assert such a claim on this form. Retention rights may be claimed ONLY in one per session activity. No person may work more than 400 hours in one or a combination of per session activities (with a maximum of 400 hours in a school psychologist and/or school social worker position) without prior written approval of the Division of Human Resources in accordance with Chancellor’s Regulation C-175.

Last Name: _______________________________

First Name: ______________________

MI: _____________

Home Address: ________________________________________________________

Zip Code: ______________

Home Phone: (____) ______________

File No.: ______________

Email Address: ________________________

1. Are you a full-time employee of the NYC Department of Education?

Yes ____

No _____

 

If yes, indicate current work location: CFN ____________ District _______ School/Office _________________

License or Title ______________________ Hours of Employment from ________________ to ______________

2.Per Session Position for which you are Applying: Program Name: ______________________________________

CFN ____ District _____ Approximate Start Date __________ Do you claim retention rights? Yes ____ No ____

School/Office __________________________ Approximate Total No. of Hours in Activity __________________

Work Hours Monday – Friday ___________ to _____________ Saturday – Sunday __________ to __________

3.Between July 1, 2020 and June 30, 2021, have you worked or do you plan to work in any other per session activity? Yes _____ No _____. If yes, indicate all positions below. Use additional sheets if necessary.

a. Program Name: __________________________________________________________________________

CFN _____ District _____ Approximate Start Date _____ Do you claim retention rights? Yes ____ No ___

School/Office __________________________ Approximate Total No. of Hours in Activity ______________

Work Hours Monday – Friday _________ to ___________ Saturday – Sunday __________ to __________

b. Program Name: __________________________________________________________________________

CFN _____ District _____ Approximate Start Date _____ Do you claim retention rights? Yes ____ No ___

School/Office __________________________ Approximate Total No. of Hours in Activity _______________

Work Hours Monday – Friday ___________ to ____________ Saturday – Sunday _________ to ________

4.Will your total per session hours for this year, including the hours for the position for which you are applying, exceed 400? Yes _____ No _____

5. If yes, have you submitted a waiver request to exceed the 400 hour maximum? Yes _____ No _____

6.Declaration: I have read and understand the requirements in Chancellor’s Regulation C-175. I understand that I am bound by this regulation. I affirm that the information given above is, to my knowledge, accurate and complete, and I understand that a willfully false answer to any question contained herein is a Class E felony which shall render this application null and void and may result in loss of retention rights, cancellation of per session employment, loss of pay, recoupment of compensation already paid, and/or disciplinary action.

__________________________________________________

_________________________

Signature of Applicant

Date

7.Approval by Per Session Supervisor: I certify that this applicant possesses the qualifications established for the position and that the selection was made after following advertising procedures set forth in Chancellor’s Regulation

C175.

_________________________________________________

_________________________

Signature of Per Session Program Supervisor

Date

OP-175: 2020-2021

Chancellor’s Regulation C-175

Summary of Chancellor’s Regulation C-175

Chancellor’s Regulation C-175 is available for review at http://schools.nyc.gov/RulesPolicies/ChancellorsRegulations. Each school maintains a copy of the Standard Operating Procedures Manual for Schools (SOPM). Individuals may review a copy of these procedures in order to familiarize themselves with the process by which per session employees are processed and paid.

1.All per session employees must complete an application for per session activity (OP175) prior to commencing service.

2.Individuals who have been approved for waivers in prior years must resubmit new waiver applications each year. For this purpose, the per session year is from July 1st through June 30th.

3.Individuals must submit a waiver form for exceeding the limit on the maximum number of hours that can be served in a per session year. The maximum number of hours of per session work that may be performed annually is available in the C-175 regulation.

4.No individual is authorized to work in a per session activity during a normal school workday.

5.Per session employment, whether funded from the same or a different source, may not be used as a means of providing additional compensation for work similar to that which is performed in an individual’s primary assignment.

6.Individuals cannot serve in a per session activity for which, in their primary assignment, they are responsible for hiring, rating, or coordinating or which they normally supervise in their primary assignment.

7.No per session compensation may be paid for work performed at home.

8.Employees on sabbatical leaves beginning August 1st must complete per session activities in which they are serving in July. They will not be permitted to commence any new per session assignments until the September following the completion of the sabbatical.

9.Each per session employee is required to use a time clock to record the exact time of arrival and departure. The timecard is to be maintained at the work site and should serve as the basis of entries on the Personnel Time Report. If a time clock is not available, a daily attendance report with exact time of arrival and departure must be provided, maintained and approved by a supervisor. In every case, regardless of the specific manner in which time is reported, supervisors are accountable for verifying the record of attendance. Approval by a co-worker is not acceptable. Failure to maintain satisfactory records will result in the withholding of compensation or recoupment of payment already made.

10.Each per session employee is required to submit a time sheet for service that was performed during the prior per session period within one school day of the per session period immediately following each service.

11.Time sheets submitted for per session work which required a waiver that was not previously approved will result in the withholding of per session payment.

12.If a teacher is entitled to retention rights in a per session activity but fails to claim those rights before or at the time of application for a different per session job in which the teacher has no retention rights, the teacher may then be denied employment in the job for which there is entitlement to retention.

Notes: Requests for waivers must be submitted sufficiently in advance to allow time for review and appropriate action.

Failure to obtain a valid waiver may result in the withholding of payment for hours worked beyond the maximum hours as outlined in Chancellor’s Regulation C-175.

How to Edit 175 Op Form Online for Free

We've worked with NYC DOE forms specialists to make FormsPal's PDF editor the most accurate tool for completing the 175 Op form. The software will guide you through every field of the OP-175, from your CFN entry to the supervisor signature section. Our editor is free and works on any device without downloading software. Follow these steps to fill out each section correctly.

Steps to Fill Out the 175 Op Form Online

Step 1: Open the OP-175 in FormsPal's editor. Click the "Get Form Here" button at the top of the page. The PDF opens directly in your browser. Use the toolbar to type, sign, or annotate each field.

Step 2: Enter Employee and Position Information. Complete Part 1 with your CFN number, District, the name of the school or office, the position applied for, the approximate start date, and your estimated per session hours for each weekday (Monday through Friday).

Step 1 to filling in the OP-175 form

Step 3: Confirm Program Name and Hours Cap. Enter the Program Name in Part 2. Answer whether your combined per session hours across all positions will exceed 400 for the year. If yes, you must submit the OP-175W waiver form before reaching the cap. Work that exceeds 400 hours without an approved waiver will not be compensated.

OP-175 form Part 2 fields including program name and hours

Step 4: Claim Retention Rights (if applicable). If you worked in this per session position for the prior two consecutive school years, check the retention rights box. Provide supporting documentation as required. This step is critical for establishing priority placement under Chancellor's Regulation C-175.

Step 5: Review the Regulation C-175 Summary. The final section summarizes key obligations: all per session employees must report to the designated site, may not receive pay for home-based work, and must clock in and out for every session. Review this section before signing.

Completing OP-175 step 3 with the regulation summary

Step 6: Sign and submit. The Applicant must sign and date the Declaration. The Per Session Program Supervisor must also sign before submission. Click "Done" in our editor to download or print the completed PDF, then submit the signed original to your school's per session coordinator.

Frequently Asked Questions About the OP-175 Form

Who is required to submit the NYC DOE OP-175? Any NYC DOE employee, including teachers, paraprofessionals, school aides, and support staff, who wants to work additional per session hours must submit the OP-175 form before starting any per session activity.

What happens if I exceed 400 per session hours? Compensation stops at 400 hours unless a waiver was approved in advance. Continuing work past the cap without approval violates Chancellor's Regulation C-175 and may result in forfeited pay.

What if I already have retention rights from a prior year? Indicate your retention rights claim in Part 1 of the form. Employees with valid retention rights receive priority for continued placement. If there is a dispute, contact your district's per session coordinator.

Is the OP-175W the same as the OP-175? No. The OP-175W is a separate waiver form used when an employee expects to exceed the 400-hour annual cap. It must be submitted before the cap is reached. Browse all employment forms for NYC staff on FormsPal.

What does the CFN number mean on the OP-175 form? CFN stands for Central File Number, the unique identifier assigned to each NYC DOE employee. You can find your CFN on your pay stub or by contacting your HR representative. The CFN is required in Part 1 of the OP-175 and is used to match the form to your employee record in the DOE payroll system.

Can I submit the OP-175 form electronically? The NYC DOE currently requires a physically signed original in most cases. You can complete the form using FormsPal's online editor, then print and sign before submission. Check with your per session coordinator to confirm whether your district accepts scanned or emailed copies alongside the original.

What happens if the Per Session Program Supervisor does not sign? The form is incomplete without the supervisor's signature. Per session work may not begin until the fully signed OP-175 is on file. If the supervisor is unavailable, the employee should contact the district per session office to arrange alternate approval before the scheduled start date.

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