Human Resources and Payroll

Forms

 

Forms

Accessibility Statement
George Mason University is committed to providing access to all programs and services to people with disabilities. This includes access to electronic information and services. All official Mason web sites must meet Mason's web accessibility standards. These standards are based on the Web Accessibility Standards specified in Section 508 of the Rehabilitation Act. We are actively working towards this goal. If at any time you have trouble accessing any information or service on this site, please contact payroll@gmu.edu. We will address the accessibility issue in a timely manner and provide reasonable accommodations to ensure access to these services or materials in an alternative format. For more information about our commitment to accessibility at Mason please visit http://www.gmu.edu/accessibility/


Benefits Forms

Health and Flexible Benefits Forms (DHRM Web Site)

Retirement Related Forms

Retirement and Life Insurance Forms (VRS)

Faculty Retirement Transition Leave Program: Election Form
Faculty Retirement Transition Leave Program: General Release and Covenant Not to Sue form

GMU 403(b) Salary Reduction Agreement (2017)

Tax-Sheltered Annuity Plan Acknowledgement and Opt-Out Form

Tax-Sheltered Annuity Plan Notice of Automatic Enrollment

One-Time Deferral Form

Family and Medical Leave Act (FMLA) Forms

FMLA Leave Request Form
FMLA Leave Supplement Form
FMLA Certification Form
FMLA Designation Form
Extended Leave Request (Supervisor Notification)
Return to Work Form
Certification for Serious Injury or Illness of Covered Service Member for Military Family Leave
Certification of Qualifying Exigency for Military Family Leave

Virginia Sickness and Disability Program (VSDP) Forms

Extended Absence Leave Supplement Form
Extended Leave Request (Supervisor Notification)
VSDP Short Term Disability Return to Work

Workers' Compensation Protocol

First Report of Accident Form


Panel Physician Selection Form (Virginia)-initial visit

Panel Physician Selection Form (Maryland) -initial visit

Panel Physician Selection Form- Biomedical Research Lab Only

Panel Physician Selection Form- Front Royal

 

Panel Physician Selection Form- Orthopedic


VA DMV Disabled Parking Application - pdf (23Kb)
VSDP Handbook - pdf (196Kb)

 

Other

eDirect Overview

eDirect

Payroll Forms

Banner Related Forms

Workforce Planning Forms

Commonwealth Commuter Choice

Employee Recognition Nomination Forms

Employment and Related Forms

Faculty/Staff Book Scholarship Application

Family and Medical Leave Act (FMLA) Forms

 

 

Federal & State Tax Forms

Grievance Forms

HR Access Requests

Information Technology Compensation Forms

Leave Sharing

Outside Employment Form

Performance Management

 

Probationary Progress Review Guidelines

Retirement and Life Insurance Forms

Staff Study Leave Forms

Telework and Flextime

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Tuition Exemption Request

Per the Internal Revenue Service (IRS), beginning with calendar year 2014, employees who currently utilize a tuition waiver for graduate study will have amounts in excess of $5,250 reported as taxable earnings. This means that your tax withholding will increase in the pay period in which the excess amount is reported. We expect to report amounts in excess of $5,250 as taxable income in October 2014. Anything less than or equal to $5,250 is not reportable.

Tuition waivers for employees in undergraduate programs are not impacted by this change.

Additional information is available in IRS Publication 970, Chapter 11.

If you have any questions, please contact Mira Halilovic at 703.993.2625 or mhalilov@gmu.edu.

Workers' Compensation Forms

Volunteering