Direct Deposit Enrollment Request for State Employees

State employee requests direct deposit enrollment, changes or cancellations.

Two Options for Submitting Direct Deposit Requests

Option 1: Download, print, scan and mail to Human Resources

Option 2: Download, print, scan and upload to a secure UBBox folder

Choose a Submission Option

Option 1: Download, Print, Scan and Mail

Instructions

  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 and a copy of your UB Card to:         

Human Resources
120 Crofts Hall
North Campus

Download the Direct Deposit Request Form

Direct Deposit Enrollment Request Form for State Employees
A Copy of Your UB Card is Required

As an added measure of security, we require that you submit a copy of your official UB Card with your direct deposit request form. 

Option 2: Download, Print, Scan, Upload to UBBox

Instructions

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 to your computer device

  • Save your documentation as a single PDF file
  • Name your file: Your Last Name_Your First Name_Your Person Number
  • Example:  Doe_John_55552222

Files not saved in this manner will be rejected.

6. Drag and drop your completed, signed, single PDF file to the file upload widget

Log in with your UBITName and password to use the upload widget

Need Help Completing the Form?

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: Option to uploaded added April 2020

Owner: Human Resources