Waiver of Additional Money For Holiday Work
Each year, state classified employees can change their option for being compensated for required work on non-floating holidays to pay or compensatory time.
Form must be submitted by May 15
Download the Form
Completing the Form
- Download the PDF form
- Enter the requested information
- Sign
- Save a copy to your desktop
- Name your file: Your Last Name Your First Name
- ex. Smith John
- Upload to the Benefits Secure UB Box Folder or Fax to 716-645-3830
The State Benefits office will be unable to respond to emails or calls to confirm that your form has been received. You will receive a confirmation if your submission to the UB Box was successful. Employees who submit their forms via fax should save their fax confirmation. Thank you.
Your NYS ID Number
Log into the SUNY HR Portal and locate your number in the upper right corner (beginning with an N).
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Form Facts
Form Type: Downloadable, PDF document
Requirements: Adobe Reader
Updated: April 2022
Owner: State Benefits, Human Resources,