Immunization Record Late Fee Appeal

If you feel there are significant circumstances related to not being in compliance with the immunization record submission deadline, you may submit a late fee appeal request. Please complete and submit the appeal form below.

Please explain your reasons for requesting an appeal of the immunization record late fee. Allow at least 5 business days after submission for review of your appeal request. Student Health Services may request additional information regarding your appeal.

Immunization Late Fee Appeal Form

  • Responses will only be sent to a Mason email address (for example, @gmu.edu or @masonlive.gmu.edu).
  • Please explain your reasons for your appeal of the immunization record late fee.