Request for Leave Form - Dynamic Forms Instructions
The Request for Leave Form is used as a formal means of requesting time off from an employee’s regularly scheduled hours.
Submission of this form does not guarantee approval. Keep in mind that most forms will need multiple approvals and should be submitted at least two to three weeks before payment is due.
The digital version of the Request for Leave Form is constructed with built-in routing and messaging. This form is designed to be routed for approval and completion.
Always be sure your MyMassasoit Portal is open when creating or signing Dynamic Forms from links received in email or from documentation. If you have not already signed into the portal, you may see a window asking for your Microsoft account information.
To initiate the form, go to ITS Help Desk – Services – Administrative Services
Step 1 – Form Initiator
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Enter your supervisor’s name and email address in the space provided below and click on “Next” to continue.
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Enter your employee HRCMS ID and Employee Record Number. To find this information, login to HRCMS and from your home page, select the ‘Timesheet’ tile. This should bring you to your timesheet. At the top of your timesheet will be listed a few fields. Take the ‘Employee ID’ field and enter it into the ‘HRCMS ID’ field on the form. The ‘Empl Record’ field corresponds to the Employee Record Number field on the form.
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Enter your employee classification
![](https://lh7-us.googleusercontent.com/docsz/AD_4nXcnx8YGPJCDErQWT4gkTMPTcoOYlq97lyV2wh93pjtX-nt4qJYFcgk0Yoi26bxqDFMfjrXcjBx_erVFCv2-ZSeh1cVFn3ApveFkk1R5JqlD6lT2wSIWDxiRqmr_uNNoIIxELecJBQl5vINZrn4IDIwg7FZB?key=FwTXpWGqofD15IgMJgKlvQ)
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Continue to enter all requested information. Please note the required information indicated by a red asterisk.
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)
5. After reviewing your form for accuracy and completeness, click on the highlighted area to sign your form. Then, type your name as it appears on the signature page and click on the “Sign Electronically” button.
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)
6. After signing, please click on the “Submit” button.
![](data:image/png;base64,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)
7. Upon completion, your form will automatically be routed to your supervisor for a decision. You will also receive an email confirmation acknowledging receipt of your form.