Paid Family Leave Waiver for Research Foundation (RF) Employees

Research Foundation (RF) employees can claim exemption from NYS Paid Family Leave eligibility.

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 if any
  2. Enter requested information into the form
  3. Print the form
  4. Sign form on Employee's Signature line
  5. Scan a copy of the signed form for your records
  6. Send the original, completed, signed form to:

Human Resources
University at Buffalo
Townsend Hall
205 Hayes Road
Buffalo, NY 14214

Need Help Completing the Form?

Zachary Jenney.

Zachary Jenney

Manager

Research Foundation Benefit Services

Phone: 716-645-4439

Email: zjenney@buffalo.edu

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: 12/2017

Owner: Research Foundation Benefits, Human Resources