Form Submissions - Dental Health Services Portal

Form "Medical Enrollment" Submitted

Groups "Employee"

All Deny Reject Save Pending Next Approved Hire

First Name	Last Name	Email	Phone Number	Submitted Date	Grade	Form Status	View	Action
Test	Test	crytz29@gmail.com	(310) 555-5555	10/22/2024 09:15 AM	0%	Pending	View	Re-take