Flexible Work Program Application

Faculty and staff may use this form to request flexible work such as a compressed work week, flexible start and end times and telecommuting. Applications may be submitted at any time; there is no specified application period.


  1. Use the form below to request a flexible work agreement
  2. You will receive an email with a PDF version of the application attached.
  3. Submit PDF application to your direct supervisor
  4. A flexible work arrangement shall not commence until you receive confirmation of approval from Human Resources

Need Help Completing the Form?


UB HR Benefits

State Benefit Services

Phone: 716-645-7777

Email: ub-hr-benefits@buffalo.edu

Form Facts

Form Type: HTML

Requirements: Web browser

Updated: 09/2021

Owner: Human Resources