| Employee | |
|---|---|
| Date of Request: | 01/02/2026 |
| Any Details You Care to Provide Regarding the Nature of Your Request: | President's Day. Kids out of school. |
| Clinic | Kosciusko |
| Time Requested Off | |
| Is this request for a full or partial day? | Yes |
| Is this request for multiple days? | No |
| Initial Date Requested off | 02/16/2026 |
| Has anyone else already scheduled off during this time? | No |
| Approved? (Admin-only) |
|