Over40 Comp Time Enrollment

To participate in the 2017-18 Over40 Comp Time II (Over40 II) Pilot Program, please complete and submit this form to your payroll office no later than May 15, 2017.

Form must be submitted by May 15.

Using Firefox with PDF forms?

Make Adobe Acrobat the reader.

Completing the Paper Form

  1. Fill in the blanks as indicated
  2. Sign the form
  3. Make 2 copies of the form — for you and your supervisor
  4. Send the original form to:

State Benefits
Human Resources
120 Crofts Hall
North Campus


Need Help Completing the Form?

Claudia Samulski

Claudia Samulski

State Benefit Services

Phone: 716-645-4487

Email: samulski@buffalo.edu

Amy Myszka

Amy Myszka


Benefits and Work Life Balance

Phone: 716-645-5357

Email: amyszka@buffalo.edu

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: 4/2017

Owner: State Benefits, Human Resources,