| Employee | |
|---|---|
| Date of Request: | 06/10/2026 |
| Any Details You Care to Provide Regarding the Nature of Your Request: | Wife having surgery |
| Clinic | Flowood |
| Time Requested Off | |
| Is this request for multiple days? | No |
| Initial Date Requested off | 07/17/2026 |
| Has anyone else already scheduled off during this time? | No |
| Approved? (Admin-only) |
|