Fairness is a major concern in contemporary decision problems. In these situations, the objective is to maximize fairness while preserving the efficacy of the underlying decision-making problem. This paper examines repeated decisions on problems involving multiple stakeholders and a central decision maker. Repetition of the decision-making provides additional opportunities to promote fairness while increasing the complexity from symmetry to finding solutions. This paper presents a general mathematical programming framework for the proposed fairness-over-time (FOT) decision-making problem. The framework includes a natural abstraction of how a stakeholder’s acquired utilities can be aggregated over time. In contrast with a natural, descriptive formulation, we demonstrate that if the aggregation function possesses certain basic properties, a strong reformulation can be written to remove symmetry from the problem, making it amenable to branch-and-cut solvers. Finally, we propose a particular relaxation of this reformulation that can assist in the construction of high-quality approximate solutions to the original problem and can be solved using simultaneous row and column generation techniques.