URMC Template

Apple Pay and Google Pay payment options now available!

Use this form to conveniently and securely make your gift online.

Gift Amount: Required Field

Your gift is a one-time payment. If you prefer, you have the option to break this out into scheduled payments. Check the box below to setup your scheduled payments.

One-Time Gift

Scheduled Payments

I would like to make this a Perpetual Gift

Designations Required Field

Designations Select gift designation

Selected Designations

Remove	Name	Amount	Percentage
	Finger Lakes Occupational Health Services Gift Fund	$	%
	Other: write in comments box	$	%
Total:	$0.00	0%

Comments (4,000 character limit):

In Honor/Memory of...

Please list the person you are honoring or remembering:

Tribute Gift Type:

Tribute Gift Type: In memory of
In honor of

If you would like to notify the family or a loved one of your gift (without specifying the amount), Please provide the name and complete mailing address. (255 character limit):

Company Matching Gift Program

Company Name:

If applicable, please complete and mail the Matching Gift Form (available to download using the gift look up or contacting your Human Resources department) to the following address:

University of Rochester
Gift & Donor Records
PO Box 270032
Rochester, NY 14627

Giving to URMC