Direct Deposit Enrollment Request For State Employees
State employee requests direct deposit enrollment, changes or cancellations.
Download the 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.
Completing the Form
- 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
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Faculty, Staff, TA/GA, Hourly Non-Student and Student Assistant Payroll
If Last Name Starts A - CH
If Last Name Starts CI - 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 Yi - Z
Form Facts
Form Type: Downloadable, PDF document
Requirements: Adobe Reader
Updated: November 2012
Owner: Human Resources