| Employee | |
|---|---|
| Date of Request: | 06/08/2026 |
| Clinic | Flowood |
| Time Requested Off | |
| Is this request for a full or partial day? | No |
| Is this request for multiple days? | No |
| Initial Date Requested off | 07/20/2026 |
| Start Time Off | 08:00 AM |
| End Time Off | 08:20 AM |
| Has anyone else already scheduled off during this time? | No |
| Approved? (Admin-only) |
|