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Direct Deposit Enrollment Request for State Employees
State employee requests direct deposit enrollment, changes or cancellations.
A Copy of Your UB Card is Required
As an added measure of security, we require that you submit a copy of your official UB Card with your direct deposit request form.
Choose a Submission Option
Instructions
- Read through all pages of the document to find specific instructions, if any
- Enter requested information into the form
- Print the form
- Get required signatures
- Scan a copy of the signed form for your records
- Send the original, completed, signed form and a copy of your UB Card to:
Human Resources
University at Buffalo
Townsend Hall
205 Hayes Road
Buffalo, NY 14214
Download the Form
Include a Voided Check or Written Verification
A voided check or written verification from the financial institution showing the account number, routing number, and name(s) on the account must accompany this form for each account listed (SECTION B and C)
Don't Forget!
- A copy of your official UB Card
- A voided check or written bank verification
Failure to include these items will create a delay in processing.
Instructions
1. Read through all pages of the document to find specific instructions, if any
2. Enter requested information into the form
3. Print the form
4. Get required signatures
5. Scan a copy of the signed form to your computer device
- Save your documentation as a single PDF file
- Name your file: Your Last Name_Your First Name_Your Person Number
- Example: Doe_John_55552222
Files not saved in this manner will be rejected.
6. Drag and drop your completed, signed, single PDF file to the file upload widget
Download the Form
Log in with your UBITName and password to use the upload widget
Include a Voided Check or Written Verification
A voided check or written verification from the financial institution showing the account number, routing number, and name(s) on the account must accompany this form for each account listed (SECTION B and C)
Don't Forget!
- A copy of your official UB Card
- A voided check or written bank verification
Failure to include these items will create a delay in processing.
Need Help Completing the Form?
Faculty, Staff, TA/GA, Hourly Non-Student and Student Assistant Payroll
For last names A-CQ
For last names CR-HD
For last names HE-LT
For last names LU-PQ
For last names PR-TG
For last names TH-Z
State Appointment Processing
Angela Kuc
Director
State Appointment Processing & Payroll Services
Phone: 716-645-4427
Email: akuc@buffalo.edu
Form Facts
Form Type: Downloadable, PDF document
Requirements: Adobe Reader
Updated: April 2020
Owner: Human Resources