Leave Request for State Classified Employees

State classified employees request leave.  

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Leave Request for State Classified Employees
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Completing the PDF Form

  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 to:         

Human Resources
120 Crofts Hall
North Campus

Need help completing the form?

Send email, phone or submit a question

Claudia Samulski

Claudia Samulski

State Benefit Services

Phone: 716-645-4487

Email: samulski@buffalo.edu

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Form Facts

Form Type: Downloadable PDF form

Requirements: Adobe Reader
 

Updated: 3/208

Owner: Human Resources, Benefits