| Employee | |
|---|---|
| Date of Request: | 08/05/2026 |
| Any Details You Care to Provide Regarding the Nature of Your Request: | Going out of town for weekend |
| Clinic | Flowood |
| Time Requested Off | |
| Is this request for a full or partial day? | Full Day |
| Is this request for multiple days? | No |
| Initial Date Requested off | 09/18/2026 |
| Has anyone else already scheduled off during this time? | No |
| Approved? (Admin-only) |
|