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 24th

Download the Forms

Completing the Paper Form

Complete Both Forms

To elect a different option, eligible employees complete both the 2018 Holiday Waiver and 2018 Special Holiday Waiver.

  1. Fill in the blanks as indicated
  2. Sign the form
  3. Make 2 copies of the form — for you and your supervisor
  4. Send the original form to:

State Benefits
Human Resources
120 Crofts Hall
North Campus


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 Time and Attendance

State Benefit Services

Phone: 716-645-7777

Email: ub-hr-timeandattendance@buffalo.edu

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: 4/2018

Owner: State Benefits, Human Resources,