Direct Deposit Enrollment Request For State Employees

State employee requests direct deposit enrollment, changes or cancellations.

Download the 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. 

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Completing the 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 and a copy of your UB Card to:         

Human Resources
120 Crofts Hall
North Campus

Need Help Completing the Form?

Contact a Payroll Expert

Faculty, Staff, TA/GA, Hourly Non-Student and Student Assistant Payroll

If Last Name Starts A - CH

Katie Cartwright.

Katie Cartwright

State Payroll Services

Phone: 645-5347

Email: kmangana@buffalo.edu

If Last Name Starts Ci-Gi

Kathy Pohlman.

Kathy Pohlman

State Payroll Services

Phone: 716-645-5202

Email: pohlman@buffalo.edu

If Last Name Starts GL - K

Roseann Brzozowiec.

Roseann Brzozowiec

State Payroll Services

Phone: 716-645-4449

Email: rbrzozow@buffalo.edu

If Last Name Starts L - NORD

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Suzie Frank

State Payroll Services

Phone: 645-4425

Email: stfrank@buffalo.edu

If Last Name Starts NORE - SHEO

Cheryl Delano.

Cheryl Delano

State Payroll Services

Phone: 716-645-4446

Email: cadelano@buffalo.edu

If Last Name Starts SHEP - YH

Joanne Intorre.

Joanne Intorre

State Payroll Services

Phone: 716-645-4424

Email: jintorre@buffalo.edu

If Last Name Starts Yi-Z

Melissa Barone.

Melissa Barone

State Payroll Services

Phone: 716-645-4445

Email: mbarone@buffalo.edu

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: November 2012

Owner: Human Resources