| Employee | |
|---|---|
| Date | 12/16/2025 |
| Name | Robbie Breazeale |
| Any Details You Care to Provide Regarding the Nature of Your Request: | My Mom has a Test @ 1:00 |
| Clinic | Kosciusko |
| Time Requested Off | |
| Is this request for the full day? | No |
| Is this request for multiple days? | No |
| Initial Date Requested off | 12/18/2025 |
| Start Time Off | 12:00 PM |
| End Time Off | 05:00 PM |
| Has anyone else already scheduled off during this time? | No |
| Approved? (Admin-only) |
|