State employee requests direct deposit enrollment, changes or cancellations.
As an added measure of security, we require that you submit a copy of your official UB Card with your direct deposit request form.
Human Resources
University at Buffalo
Townsend Hall
205 Hayes Road
Buffalo, NY 14214
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)
Failure to include these items will create a delay in processing.
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
Files not saved in this manner will be rejected.
6. Drag and drop your completed, signed, single PDF file to the file upload widget
Log in with your UBITName and password to use the upload widget
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)
Failure to include these items will create a delay in processing.
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
Angela Kuc
Director
State Appointment Processing & Payroll Services
Phone: 716-645-4427
Email: akuc@
Form Type: Downloadable, PDF document
Requirements: Adobe Reader
Updated: April 2020
Owner: Human Resources