Pay Notice — Workers Paid Weekly Rate or Salary for Fixed Hours — UB Foundation (UBF)

An acknowledgement of pay rate and payday for employees paid a weekly rate or a salary for a fixed number of hours (40 or fewer in a week). This is for use with UB and RF faculty and staff who are funded with UBF resources.

Download the Form

UBF Pay Notice–Workers Paid a Weekly Rate or Salary for a Fixed Number of Hours
Mobile Users

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

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
  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 form to the appropriate address:
Office Operations Until Further Notice

UB Foundation physical offices at Center for Tomorrow (CFT) will be open 8:00 AM – 4:30 PM Monday – Friday, however most staff continue to work from alternate off-campus locations.

All staff remain available, with most transactions able to be conducted via e-mail.

All staff can be reached directly via email. Click here for the UBF Employee Directory. 

Campus Mail

UB Foundation Human Resources
103 Center for Tomorrow
North Campus

External Mail (USPS)

UB Foundation Human Resources
P.O. Box 900
Buffalo, NY 14226-0900

Need Help Completing the Form?

UBF Payroll Administration

Rebecca Broderick.

Rebecca Broderick

Payroll Manager

UB Foundation

Phone: 716-645-8734

Email: rlbroder@buffalo.edu

Vanessa Phengsomphane.

Vanessa Phengsomphane

Payroll Accountant

UB Foundation

Phone: 716-645-8732

Email: vlphengs@buffalo.edu

Anne Duggan.

Anne Duggan

Payroll/ Fringe Benefits Quality Control

UB Foundation

Phone: 716-645-8736

Email: amduggan@buffalo.edu

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: April 28, 2020

Owner: UB Foundation