Special Waiver of Additional Money for Holiday Work — Security and Police

Eligible veterans and former reservists may elect a compensation option that is different from their regular election for Memorial Day, Veterans' Day and Independence Day if the employee is a member of one of the following bargaining units:

  • Security Supervisors Unit (SSpU)
  • Security Services Unit (SSU)
  • Agency Police Services Unit (APSU)

Form must be submitted by May 15

Download the Forms

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Completing the Form

Complete Both Forms

To elect a different option, eligible employees complete both the 2023 Holiday Waiver and 2023 Special Holiday Waiver.

  1. Download the PDF form
  2. Enter the requested information
  3. Sign
  4. Save a copy to your desktop
  5. Name your file:  Your Last Name Your First Name
    • ex. Smith John
  6. 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).

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: Downloadable, PDF document

Requirements: Adobe Reader

Updated: April 2023

Owner: State Benefits, Human Resources,