| Employee | |
|---|---|
| Date of Request: | 07/26/2026 |
| Clinic | Flowood |
| Time Requested Off | |
| Is this request for a full or partial day? | Full Day |
| Is this request for multiple days? | Yes |
| Initial Date Requested off | 10/09/2026 |
| End Date Requested off | 10/14/2026 |
| Has anyone else already scheduled off during this time? | No |
| Approved? (Admin-only) |
|