Human Resources and Payroll

Employment • Benefits • Class-n-Comp • Employee Relations • Payroll • Learning • Work/Life • Welcome!

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/

Payroll Forms

• Timesheet Guidelines
• Corrected Time Sheet Form: Classified Exempt (Comp. Time Eligible)
• Corrected Time Sheet Form: Classified Non-Exempt
• Corrected Time Sheet Form: Wages
• Amended Leave Report: Instructional, Research & Administrative Faculty
  MS Word version,   PDF version
• Request for Overtime Leave Pay Out
• Overtime Leave Employee Agreement
• 9-Month Faculty Pay Selection Form
• Request for Duplicate Copy of W2

• Retirement Related Forms
• GMU 403(b) Salary Reduction Agreement
• GMU 457 Payroll Authorization Form
• One-Time Deferral Forms
  • 403(b) Accounts
  • 457 Deferred Compensation Plan
• Tax-Sheltered Annuity Plan Acknowledgement and Opt-Out Form

Banner Related Forms

• Classified Transaction Form
• Faculty Transaction Form
• Department Funding Change Form
• EA Hard Copy Form .pdf, .doc
• Classified Separation Form
• Faculty Separation Form
• Timesheet Approver/Supervisor Change Form


• Data Request form on MyMasonHR

Classification and Compensation Forms

Commonwealth Commuter Choice

• Commuter Choice Enrollment Form
• Commuter Choice Request for Reimbursement
• Commuter Choice Information Guide
• Register your SmarTrip Card
• Claim your SmarTrip Card benefits on the 1st of the month

Employee Recognition Nomination Forms

• Employee of the Month Nomination Form .pdf .doc
• Outstanding Achievement Award Nomination
• Outstanding Supervisor Award
• Presidential Citation
• Employee Suggestion Program
• Exceptional Support Award
• Immediate Recognition Award
• Margaret Howell Award
• Martha J. Reiner Quality Customer Service Award Nomination
• David W. Rossell Quill Award Nomination Form .pdf .doc
• Team Excellence Award
• Safety Recognition Award
• Sustainablilty Hero Award

Employment and Related Forms

 

• Outside Employment Guidelines for Classified Staff and Administrative and Professional Faculty
• Decentralized Hiring Procedures
• Applicant Reference Check
• Selective Service Compliance Document
• Commonwealth Alcohol and Drug Policy
• Commonwealth Use of Electronic Communication and Social Media Policy (DHRM Policy 1.75)
  • DHRM Certificate of Receipt
• Employment Eligibility Verification Form (I-9)
• Form I-9 Instructions for Supervisors of Remote Employees
• Form I-9 Instructions for Remote Employees
• Form I-9 Notary Public Form
• Form I-9 Remote New Hire Notice Form
• Name and Address Change

 




Wage Specific Employment Forms Separated

• Wage Employee Information Form
• Wage Employee Orientation Checklist
• Conditions of Employment for Wage Employees
• Wage Welcome Letter






Classified Employees

• Supervisor Checklist - Getting a New (Classified) Employee Off to a Good Start
• Interviewed But Not Selected
• Recruit Cancelled



Faculty

• Faculty -- Interviewed But Not Selected

 




Exit Forms

• Employee Exit Checklist - For Separating Employee
• Employee Exit Checklist - For Separating Employee's Supervisor
• Exit Interview Form

Faculty Employment Forms

• Faculty Offer Letter Formats (Word format)

Faculty Leave Forms

• FMLA Advance Leave Request Form (Word Format) or (PDF Format)

Faculty/Staff Book Scholarship Application

• Competitive book scholarship for faculty and classified staff enrolled in a degree at Mason
• Eligibility and details are on the application

Family and Medical Leave Act (FMLA) Forms

 

 

• FMLA Leave Request Form
• FMLA Leave Supplement Form
• FMLA Certification Form
• Extended Leave Request (Supervisor Notification)
• Return to Work Form

Federal & State Tax Forms

• Virginia Withholding Exemption Certificate (Form VA-4)
• West Virginia Withholding Exemption Certificate
• Maryland Employee's Withholding Exemption Certificate
• D.C. Withholding Allowance Certificate
  
• Additional federal tax forms.
• Additional state tax forms: Virginia, Maryland, D.C.
• Hiring Incentives to Restore Employment (HIRE) Act - W-11

Grievance Forms

• Grievance Form A
• Grievance Form A-Expedited Process

Health and Flexible Benefits Forms (DHRM Web Site)

• Extended Coverage Enrollment Form (COBRA)
• Qualifying Event Notice
• Anthem Claim Form
• Anthem Blue View Vision Out-of-Network Claim Form (for COVA Care members)
• Flexible Spending Account Election Form
• Flexible Spending Account Reimbursement Request Form
• EZ Reimburse Card (new employees)
  Please note: Completing an EZ Reimburse Card application does not enroll you in a Medical Flexible Account.
• EZ Reimburse Card Application
• EZ Reimburse Card Transmittal Sheet


• Health Enrollment Form


• Proof of Eligibility

HR Access Requests

• eHR User Access Request Form
• E-Verify Access Request Form

Information Technology Compensation Forms

Leave Sharing

• Leave Sharing Form (Word Format)
• Recipient Application Form (PDF Format)

Performance Management

• Instructions for completing the Employee Work Profile (EWP)
• Employee Work Profile - Non-Supervisory
• Employee Work Profile - Supervisory
• Employee Work Profile - IT
• Information Technology Performance Evaluation Form
• Interim Evaluation for Classified Staff
• Acknowledgment of Extraordinary Contribution
• Notice of Improvement Needed-Substandard Performance
• Performance Evaluation-Classified-Non-Supervisor
• Performance Evaluation-Classified-Supervisor
• Position Requirements Worksheet .pdf, .doc


• Admin Faculty Position Description
• Admin Faculty Performance Evaluation
• Admin Faculty Self Evaluation


• Definitions for Classified Evaluation Rating Levels
• Employee Self-Assessment (Word format)
• Instructions for Employee Self-Assessment (Word format)
• Upward Feedback (Word format)
• Upward Feedback Guidelines (Word format)

 

Probationary Progress Review Guidelines

• 6-month and 11-month Progress Review Form
• Sample Counseling Memo for Probationary Employees

Retirement and Life Insurance Forms

Staff Study Leave Forms

• Application
• Memorandum of Agreement

Telework and Flextime

• Telework Remote Work Agreement


• Flexible Work Agreement

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Tuition Exemption Request

• Overview of Tuition Waiver Policy #2209
• Employee Tuition Exemption Request Form

VSDP Forms

Worker's Compensation Forms