Direct Deposit Enrollment Request for State Employees
State employee requests direct deposit enrollment, changes or cancellations.
Two Options for Submitting Direct Deposit Requests
Option 1: Download, print, scan and mail to Human Resources
Option 2: Download, print, scan and upload to a secure UBBox folder
Choose a Submission Option
Option 1: Download, Print, Scan and Mail
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
120 Crofts Hall
North Campus
Download the Direct Deposit Request Form
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.
Option 2: Download, Print, Scan, Upload to UBBox
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
Need Help Completing the Form?
Contact a Payroll Expert
Faculty, Staff, TA/GA, Hourly Non-Student and Student Assistant Payroll
If Last Name Starts A - CH
If Last Name Starts D-Gi
If Last Name Starts GL - K
If Last Name Starts L - NORD
If Last Name Starts NORE - SHEO
If Last Name Starts SHEP - YH
If Last Name Starts Ci-Cz; Yi-Z
Form Facts
Form Type: Downloadable, PDF document
Requirements: Adobe Reader
Updated: Option to uploaded added April 2020
Owner: Human Resources