| Employee | |
|---|---|
| Date of Request: | 06/04/2026 |
| Any Details You Care to Provide Regarding the Nature of Your Request: | I had put in for a half of a day, but I need all day with my Grandson. |
| Clinic | Kosciusko |
| Time Requested Off | |
| Is this request for multiple days? | No |
| Initial Date Requested off | 06/12/2026 |
| Has anyone else already scheduled off during this time? | No |
| Approved? (Admin-only) |
|