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

  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 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

Katie Cartwright.

Katie Cartwright

State Payroll Services

Phone: 645-5347

Email: kmangana@buffalo.edu

If Last Name Starts D-Gi

Kathy Pohlman.

Kathy Pohlman

State Payroll Services

Phone: 716-645-5202

Email: pohlman@buffalo.edu

If Last Name Starts GL - K

Roseann Brzozowiec.

Roseann Brzozowiec

State Payroll Services

Phone: 716-645-4449

Email: rbrzozow@buffalo.edu

If Last Name Starts L - NORD

Suzie Frank.

Suzie Frank

State Payroll Services

Phone: 645-4425

Email: stfrank@buffalo.edu

If Last Name Starts NORE - SHEO

Cheryl Delano.

Cheryl Delano

State Payroll Services

Phone: 716-645-4446

Email: cadelano@buffalo.edu

If Last Name Starts SHEP - YH

Joanne Intorre.

Joanne Intorre

State Payroll Services

Phone: 716-645-4424

Email: jintorre@buffalo.edu

If Last Name Starts Ci-Cz; Yi-Z

Melissa Barone.

Melissa Barone

State Payroll Services

Phone: 716-645-4445

Email: mbarone@buffalo.edu

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: Option to uploaded added April 2020

Owner: Human Resources