Employee Statement in Lieu of Oath for State

State employee pledge to support the constitution of the United States and State of New York pursuant to Civil Services Law #62.

Download the Form

Mobile Users

For the best experience in completing this form use a non-mobile device.

Download the Public Officers Law Handbook

Using Firefox with PDF forms?

Make Adobe Acrobat the reader.

Completing the PDF Form

  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 for your records
  6. Send the original, completed, signed form to:         

Human Services
120 Crofts Hall
North Campus

Need help completing the form?

Send email, phone or submit a question

Dana Moore

Manager

State Appointment Processing

Phone: 716-645-8157

Email: dlmoore@buffalo.edu

About the Issue or Your Comments

 
 
(We'd like to respond to you.)
(Required)

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: September 2013

Owner: Human Resources