| Employee | |
|---|---|
| Date of Request: | 02/11/2026 |
| Clinic | Flowood |
| Time Requested Off | |
| Is this request for a full or partial day? | Yes |
| Is this request for multiple days? | Yes |
| Initial Date Requested off | 06/04/2026 |
| End Date Requested off | 02/06/2026 |
| Has anyone else already scheduled off during this time? | No |