Human Resources and Payroll




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 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

Form to Update Your Phone Number for 2 Factor (2FA) Enrollment

(for those who did not previously enroll and are unable to enroll without a valid phone number in Patriotweb)

Benefits Forms

Health and Flexible Benefits Forms (DHRM Web Site)

Retirement Related Forms

Retirement and Life Insurance Forms (VRS)
Designation of Beneficiary Form

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

ORP and Cash Match Fund Offerings

GMU 403(b) Salary Reduction Agreement (2020)

GMU 403(b) 9-month Faculty Summer Stop Authorization

VRS-65 Election of Retirement Plan for Faculty

Tax-Sheltered Annuity Plan Acknowledgement and Opt-Out Form

Tax-Sheltered Annuity Plan Notice of Automatic Enrollment

Termination Certification Form (ORP)

One-Time Deferral Form

Family and Medical Leave Act (FMLA) Forms

FMLA Leave Supplement Form
FMLA Medical Certification, Employee

FMLA Medical Certification, Family Member
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

VSDP Leave Supplement Form
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)



Payroll Forms


Banner Related Forms


Classification and Compensation Forms


Commonwealth Commuter Choice

Information (including forms) on Commonwealth Commuter Choice is available on the Transportation website.


Employee Recognition Nomination Forms


Employment and Related Forms

Please visit talent acquisition site for all employment and related forms.



Faculty/Staff Book Scholarship Application

Federal & State Tax Forms


Grievance Forms


HR Access Requests


Leave Sharing


Outside Employment Form



Performance Evaluation Forms


Retirement and Life Insurance Forms

Please visit the Virginia Retirement System site for retirement and life insurnace forms.


Staff Study Leave Forms

Telework and Flextime

To enable telework technology please click on this link...


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


Workers' Compensation Form

Please visit the benefits site for all workers' compensation forms.