protrack.quickbase.com Open in urlscan Pro
104.18.100.30  Public Scan

URL: https://protrack.quickbase.com/db/brwmmgfew?a=dr&r=k6
Submission: On May 16 via api from US — Scanned from DE

Form analysis 4 forms found in the DOM

<form id="emailQueryForm">
  <table style="width:100%">
    <tbody>
      <tr id="emailQueryCalendarMessage" style="display:none;">
        <td colspan="2" style="padding: 10px 7px;border-radius:3px;background:#e9e9e9;color:#666;text-align:center;"> Quickbase will send a report of the events currently displayed on your calendar. </td>
      </tr>
      <tr>
        <td colspan="2" style="padding-left:43px;padding-top:15px;">
          <label id="emailQueryInputLabel" class="textInputLabel contactsInputLabel">Email addresses</label>
        </td>
      </tr>
      <tr>
        <td>
          <button class="addressBookButton ui-corner-all ui-state-default" type="button" id="emailQueryAddressBookButton">
            <img src="https://assets-cflare.quickbasecdn.net/res/447cf0f-2/i/icons/16/book_open.png" title="Quickbase Address Book">
          </button>
        </td>
        <td>
          <input type="text" class="emailAddressInput" id="emailQueryUsers" style="max-height:200px; width:524px;">
        </td>
      </tr>
    </tbody>
  </table>
</form>

POST /db/bqfm6wuh2?a=QBI_AddRole

<form id="roleAddForm" action="/db/bqfm6wuh2?a=QBI_AddRole" method="post">
  <label for="addRoleName" class="Bolder">Role Name:</label>
  <input type="text" id="addRoleName" name="rolename" class="required needsExistingValidation valid">
  <br> <br>
  <label for="addRoleDesc" class="Bolder">Description:</label><br>
  <textarea id="addRoleDesc" name="roledesc" rows="5"></textarea>
  <input type="hidden" name="PageToken" value="djVjI2IjN2U4a2dldmEjYWJzZGc5Yzk0aCPfgOvQci20s2KzFduZfXLl7GxaO9cbKafrMsXvR8sICQ%3D%3D">
</form>

Name: dispformPOST main

<form method="POST" action="main" name="dispform" class="WithToggleSections">
  <input type="hidden" name="RedirectURL" value="">
  <input type="hidden" name="rid" value="348">
  <input type="hidden" name="PageToken" value="djVjI2IjN2U4a2dldmEjYWJzZGc5Yzk0aCPfgOvQci20s2KzFduZfXLl7GxaO9cbKafrMsXvR8sICQ%3D%3D">
  <!--[if IE 8]>
<link rel="stylesheet" type="text/css" href="https://assets-cflare.quickbasecdn.net/res/447cf0f-2/css/themes/classic/embeddedReports.css" />
<![endif]-->
  <link rel="stylesheet" type="text/css" href="https://assets-cflare.quickbasecdn.net/res/447cf0f-2/css/themes/classic/reports.css">
  <style>
    span.userHoverLabel {
      display: inline-block;
      width: 100px;
    }

    span.Approved,
    div.Approved {
      color: Green;
    }

    span.Denied,
    div.Denied {
      color: red !important;
    }

    #dbFormContainer {
      margin-top: 2.5em;
      /* To accommodate the record nav */
      margin-bottom: 45px;
      /* To make it clear you're on the bottom of the form, and to leave room for the Change Owner popup if necessary */
    }

    #formContents {
      margin-top: -1.3em;
    }

    body.Relaxed #formContents {
      margin-top: -.5em;
    }

    body.Condensed #formContents {
      margin-top: -1.3em;
    }

    label {
      line-height: 1.28em;
    }

    td {
      vertical-align: top;
    }

    span.stext {
      padding: 0px 10px 10px 10px;
    }

    span.rqrd {
      color: red;
      font-weight: bold;
      margin-right: .5em
    }

    div.rqrd {
      padding-bottom: 50px;
    }

    span.deactivated {
      color: Gray;
      font-style: italic;
    }

    div.dfRoSpan,
    span.dfRoSpan {
      padding-top: 2px;
      white-space: normal;
    }

    span.dfRoSpan {
      height: 1.8em;
    }

    .nowrap {
      white-space: nowrap;
    }

    div.builtInFields {
      margin: 0.5em;
    }

    body.UXV2 div.builtInFields {
      margin-top: 3em;
      border-top: 1px solid #ddd;
      padding: 1em 0;
    }

    .fileAttachmentField td.FileData {
      padding-bottom: 6px;
    }

    .fileAttachmentButtons {
      width: 100%;
      background-color: #f5f5f5;
    }

    .fileAttachmentButtons.Edit {
      padding: 0.5em;
    }

    .fileAttachmentButtons .DisplayImageInline {
      max-width: 240px;
      max-height: 160px;
      padding-bottom: 12px;
    }

    .fileAttachmentButtons .DisplayImageInline:hover {
      cursor: zoom-in;
    }

    .fileAttachmentButtons .InlineImageTitle {
      padding: 0px 0px 9px 5px;
    }

    .fileAttachmentButtons .icc.Content {
      position: relative;
      width: 100%;
    }

    .fileAttachmentButtons .icc.Buttons {
      display: flex;
      position: relative;
    }

    .fileAttachmentButtons .icc.Buttons.Horizontal {
      flex-direction: row;
    }

    .fileAttachmentButtons .icc.Buttons.Vertical {
      flex-direction: column;
    }

    .fileAttachmentButtons .icc.Buttons.Horizontal>.Versions,
    .fileAttachmentButtons .icc.Buttons.Horizontal>.lockOpenBut,
    .fileAttachmentButtons .icc.Buttons.Horizontal>.lockClosedButGreen,
    .fileAttachmentButtons .icc.Buttons.Horizontal>.lockClosedButRed {
      margin: 0px 10px 0px 0px !important
    }

    .fileAttachmentButtons .Versions {
      display: inline-block;
      cursor: pointer;
      width: 20px;
      height: 20px;
      background-repeat: no-repeat;
      background-image: url("https://assets-cflare.quickbasecdn.net/res/447cf0f-2/i/sprite_file_attachments.png");
      background-position: -120px 0px;
      margin: 0px 0px 10px 10px;
    }

    .fileAttachmentButtons .Versions:hover {
      background-position: -120px -20px;
    }

    .fileAttachmentButtons .lockOpenBut {
      display: inline-block;
      cursor: pointer;
      width: 20px;
      height: 20px;
      background-repeat: no-repeat;
      background-image: url("https://assets-cflare.quickbasecdn.net/res/447cf0f-2/i/sprite_file_attachments.png");
      background-position: 0px 0px;
      margin: 0px 0px 10px 10px;
    }

    .fileAttachmentButtons .lockOpenBut:hover {
      background-position: 0px -20px;
    }

    .fileAttachmentButtons .lockClosedButGreen {
      display: inline-block;
      cursor: pointer;
      width: 20px;
      height: 20px;
      background-repeat: no-repeat;
      background-image: url("https://assets-cflare.quickbasecdn.net/res/447cf0f-2/i/sprite_file_attachments.png");
      background-position: -40px 0px;
      margin: 0px 0px 10px 10px;
    }

    .fileAttachmentButtons .lockClosedButGreen:hover {
      background-position: -40px -20px;
    }

    .fileAttachmentButtons .lockClosedButRed {
      display: inline-block;
      cursor: pointer;
      width: 20px;
      height: 20px;
      background-repeat: no-repeat;
      background-image: url("https://assets-cflare.quickbasecdn.net/res/447cf0f-2/i/sprite_file_attachments.png");
      background-position: -80px 0px;
      margin: 0px 0px 10px 10px;
    }

    .fileAttachmentButtons .lockClosedButRed:hover {
      background-position: -80px -20px;
    }

    .field-url-iframe {
      border: none;
    }

    #formContents table.LabelsLeft td.label {
      max-width: 150px;
      word-wrap: break-word;
    }

    .hiddenByRule,
    .hiddenField {
      visibility: hidden;
      display: none;
    }

    .fieldChanged {
      color: red !important;
    }

    table.LabelsLeft,
    table.LabelsAbove {
      margin-left: 30px;
      margin-bottom: 0.462em
    }

    body.Relaxed table.LabelsLeft,
    body.Relaxed table.LabelsAbove {
      margin-bottom: 0.615em;
    }

    body.Relaxed table.LabelsLeft,
    body.Relaxed table.LabelsAbove {
      margin-bottom: 0.308em
    }

    .cell a.stdLinkButton {
      text-decoration: none;
      /*color: Black;*/
    }

    #formContents td span.checkboxField,
    #formContents td .stextcell,
    #formContents td.checkboxField,
    #formContents td.stextcell {
      background-color: transparent;
      min-width: 0;
    }

    #formContents td.stextcell {
      white-space: normal;
    }

    span.checkboxField.dc>label {
      margin-left: 5px;
    }

    table.LabelsAbove .fhelpTip,
    table.LabelsLeft .fhelpTip {
      padding: 0;
      height: 16px;
      width: 16px;
    }

    table.LabelsAbove td.checkboxFieldContainer .fhelpTip,
    table.LabelsLeft td.checkboxField .fhelpTip {
      display: inline-block;
      float: inherit;
      position: relative !important;
    }

    table.LabelsLeft td.cell.cellContentHasBorder,
    table.LabelsLeft td.cell.checkboxField {
      padding: 0;
    }

    .formRow .cell .linkButton {
      margin-left: 0;
    }

    /* Override the background color if the cell contains a button or something else with a border */
    table.LabelsAbove td div.cell.cellContentHasBorder,
    table.LabelsLeft td.cell.cellContentHasBorder {
      background-color: transparent;
    }

    /* Align text on form with the labels */
    table.LabelsAbove td.label .stextcell {
      padding-top: 0;
    }

    span.uncheckedBox {
      width: 1.7em;
      display: inline-block;
      height: 1.7em;
      position: relative;
      top: -.3em;
      background-color: #F8F8F8;
      border-radius: .273em;
      margin-top: .2em;
      border: 1px solid #ccc;
    }

    .Email .shead {
      margin-top: 1.5em;
    }

    /* td wrapper needed for outlook padding, 98% needed for outlook no colspan */
    div.Email table.EmailFieldPadder {
      width: 100%;
      margin-top: .3em;
      margin-right: 1.5em;
    }

    div.Email table.EmailFieldPadder td.EmailDivWrapper {
      background-color: #f5f5f5;
      border-collapse: collapse;
      border: 0px;
      padding: 0.83em;
      border-radius: 3px;
      margin: 0;
    }

    div.Email table.LabelsAbove td div.cell {
      padding: 0;
    }

    div.Email div.fhelpTip {
      display: none;
    }

    table.LabelsAbove td div.cell,
    table.LabelsLeft td.cell {
      background-color: #f5f5f5;
      border-radius: 3px;
      min-width: 2.727em;
      min-height: 1.1em;
      max-width: 80em;
      word-wrap: break-word;
    }

    table.LabelsAbove td div.cell.EmbeddedReport,
    table.LabelsLeft td.cell.EmbeddedReport {
      max-width: none;
    }

    /* This fixed width (instead of min-width) is here because of a race condition in mapbox calculating the size of the map. 
       When min-width is used, all maps after the first map think they are wider than they really are causing zoom issues and markers being cut off. 
    */
    .mapInlineDisplay {
      width: 235px;
      height: 235px;
    }

    .mapInlineHide {
      width: 1px;
      height: 1px;
    }

    .DisplayNone {
      display: none;
    }

    table.LabelsAbove td div.cell,
    table.LabelsLeft td.cell {
      text-align: left;
    }

    table.LabelsLeft td.label,
    table.LabelsLeft label {
      text-align: right;
    }

    .WithToggleSections #formContents .ToggleSection {
      cursor: pointer;
      margin-top: 0;
      margin-bottom: 0;
      min-height: 0;
    }

    .WithToggleSections #formContents .ToggleSection.collapsed {
      margin-bottom: 0px;
      margin-top: 0;
    }

    .WithToggleSections #formContents .ToggleSection+section {
      padding-bottom: 1em;
    }

    .WithToggleSections .ToggleSectionIcon {
      display: inline-block;
      top: 0;
      left: 0;
      margin-right: 5px;
      vertical-align: middle;
    }

    body.UXV2 .WithToggleSections .sectionTitle {
      margin-left: 0;
      cursor: pointer;
      vertical-align: middle;
      font-size: 18px;
      font-family: "HelveticaNeue-Roman", "HelveticaNeue", "Helvetica Neue", "Helvetica", "Arial", sans-serif;
      letter-spacing: 0.025em;
      color: #427CD8;
      font-weight: lighter;
    }

    body.UXV2.Regular .WithToggleSections .sectionTitle {
      font-size: 18px;
    }

    body.UXV2.Condensed .WithToggleSections .sectionTitle {
      font-size: 16px;
    }

    #dbFormContainer.Email .ToggleSectionIcon {
      display: none;
    }

    /* divider between collapsed sections */
    #formContents .sectionDiv.collapsed .Divider {
      background-image: url("https://assets-cflare.quickbasecdn.net/res/447cf0f-2/css/themes/classic/images/section_divider_A.png");
      background-repeat: repeat-x;
      margin-top: 0;
    }

    /* divider between expanded sections */
    #formContents .sectionDiv.expanded .Divider {
      background-image: url("https://assets-cflare.quickbasecdn.net/res/447cf0f-2/css/themes/classic/images/section_divider_bold.png");
      background-repeat: repeat-x;
      margin-top: 0;
    }

    #formContents .ui-tabs-panel {
      padding: 0;
    }

    #formTabsList {
      white-space: nowrap;
      overflow: hidden;
      clear: both;
      position: relative;
    }

    #formTabsList {
      display: none;
    }

    .ui-tabs #formTabsList {
      display: block;
      padding: .5em 0 20px 0;
      white-space: nowrap;
      overflow: hidden;
      clear: both;
    }

    #tabBarLeftGroup {
      position: absolute;
      top: 17px;
      left: 1px;
      display: none;
      background: none;
    }

    #tabBarRightGroup {
      position: absolute;
      top: 17px;
      right: 1px;
      display: none;
      background: none;
    }

    #formContents.ui-tabs {
      position: static;
    }

    #tabHolder {
      position: absolute;
      z-index: 5;
      max-width: 100%;
      width: 100%;
      padding: 0px 19px;
      left: 0;
      box-sizing: border-box;
    }

    #tabHolderPlaceholder {
      height: 60px;
    }

    #tabHolder .ScrollArrow {
      width: 16px;
      height: 16px;
    }

    #tabHolder.scrollable #tabBarLeftGroup {
      display: block;
    }

    #tabHolder.scrollable #tabBarRightGroup {
      display: block;
    }

    .ui-tabs #formTabsList>li {
      overflow: hidden;
      border-bottom: 5px solid transparent !important;
    }

    .ui-tabs #formTabsList>li>a {
      padding: 0.6em 1em 3px 1em;
    }

    .ui-tabs #formTabsList>li.requiredTab {
      border-top: 2px solid red;
    }

    .ui-tabs #formTabsList>li.requiredTab>a {
      color: red;
    }

    .tabHeader {
      margin-bottom: 20px;
      margin-top: 1em;
      border-bottom: 1px solid #bbb;
    }

    .tabHeaderTab {
      background: white;
      border: 1px solid #bbb;
      border-bottom-color: white;
      padding: 8px 12px;
      display: inline-block;
      position: relative;
      top: 1px;
    }

    .ui-geocode-autocomplete {
      padding: 0;
      z-index: 1001 !important;
    }

    .ui-geocode-autocomplete .ui-corner-all {
      -moz-border-radius: 0;
      -webkit-border-radius: 0;
      -khtml-border-radius: 0;
      border-radius: 0;
    }

    .ui-geocode-autocomplete.ui-menu .ui-menu-item a {
      color: #333;
      padding: .75em .5em;
      line-height: 1em;
    }

    .ui-geocode-autocomplete.ui-menu .ui-menu-item {
      border-bottom: 1px solid #eee;
    }

    .ui-geocode-autocomplete.ui-menu .ui-menu-item:last-child {
      border-bottom: 0;
    }

    .ui-geocode-autocomplete.ui-menu .ui-menu-item .ui-state-hover {
      background: #3a65ce;
      color: #fff;
      border: 0;
      margin: 0;
    }

    .WithToggleSections div.SettingLine {
      margin-bottom: 1em;
      clear: both;
    }

    .WithToggleSections .SettingLine>.Left {
      width: 150px;
    }

    .WithToggleSections .SettingLine {
      margin-left: 32px;
    }

    .WithToggleSections .qbPersist.ToggleSectionIcon {
      display: inline-block;
      top: 0;
      left: 0;
      margin: -2px 3px 0 6px;
      vertical-align: middle;
    }

    .WithToggleSections .sectionTitle {
      margin-left: 5px;
      cursor: pointer;
      vertical-align: middle;
      /* FS-H2 styling*/
      font-size: 1.2em;
      font-family: "HelveticaNeue-Roman", "HelveticaNeue", "Helvetica Neue", "Helvetica", "Arial", sans-serif;
      letter-spacing: 0.025em;
      color: #427CD8;
      font-weight: normal;
    }

    /* Space density preferences */
    /* Based off of body's 13px default font size*/
    body.Relaxed #formContents .sectionDiv.collapsed .Divider,
    body.Relaxed #formContents .sectionDiv.expanded .Divider {
      height: .654em;
    }

    body.Regular #formContents .sectionDiv.collapsed .Divider,
    body.Regular #formContents .sectionDiv.expanded .Divider {
      height: .5em;
    }

    body.Condensed #formContents .sectionDiv.collapsed .Divider,
    body.Condensed #formContents .sectionDiv.expanded .Divider {
      height: .346em;
    }

    /**/
    body.Relaxed table.LabelsLeft td,
    body.Relaxed table.LabelsAbove td {
      font-size: 13px;
    }

    /**/
    body.Regular table.LabelsLeft td,
    body.Regular table.LabelsAbove td {
      font-size: 12px;
    }

    /**/
    body.Condensed table.LabelsLeft td,
    body.Condensed table.LabelsAbove td {
      font-size: 11px;
    }

    /* Creates spacing between columns, labels and fields--we want it only on the immediate child td 
       or embedded tables get the wrong spacing.
       Border has to be white for labelsleft or the gray box fills the border too 
       Emailer like Outlook don't support the direct decendant css selector
       */
    table.LabelsLeft tr>td.cell,
    table.LabelsLeft tr>td.label,
    div.Email table.LabelsLeft tr td.cell,
    div.Email table.LabelsLeft tr td.label {
      border: solid white;
      border-top-width: 0;
      border-left-width: 0;
      vertical-align: top;
      border-right-width: 0;
    }

    table.LabelsAbove td.label {
      border: solid transparent;
      border-left-width: 0;
      border-top-width: 0;
    }

    /*
    QBE011484: Recalculated the values for Regular, Relaxed, and Condensed spacing.  
    Also went back to em units so that browser zooming would work correctly 
    in Chrome.  The values were calculated based on the font sizes for each
    of the layouts.
*/
    /* Vertical spacer between rows for Labels on left and labels above*/
    body.Relaxed table.LabelsLeft tr>td.label,
    body.Relaxed table.LabelsLeft tr>td.cell,
    body.Relaxed div.Email table.LabelsLeft tr td.label,
    body.Relaxed div.Email table.LabelsLeft tr td.cell,
    body.Relaxed table.LabelsAbove td.label {
      border-bottom-width: 0.769em;
      /*10px*/
    }

    /*Exception for read-only fields. Normally the padding on an input form is via padding on the editor box. For read only fields there is none; just text.*/
    body.Relaxed table.LabelsLeft tr>td.cell.dc {
      border-bottom-width: 0.385em;
      /*5px*/
      border-top-width: .360em;
    }

    body.Regular table.LabelsLeft tr>td.cell.dc {
      border-bottom-width: .417em;
      /*5px*/
      border-top-width: .360em;
    }

    body.Condensed table.LabelsLeft tr>td.cell.dc {
      border-bottom-width: 0.454em;
      /*5px*/
      border-top-width: .330em;
    }

    body.Regular table.LabelsLeft tr>td.label,
    body.Regular table.LabelsLeft tr>td.cell,
    body.Regular div.Email table.LabelsLeft tr td.label,
    body.Regular div.Email table.LabelsLeft tr td.cell,
    body.Regular table.LabelsAbove td.label {
      border-bottom-width: 0.5em;
      /*6px*/
    }

    body.Condensed table.LabelsLeft tr>td.label,
    body.Condensed table.LabelsLeft tr>td.cell,
    body.Condensed div.Email table.LabelsLeft tr td.label,
    body.Condensed div.Email table.LabelsLeft tr td.cell,
    body.Condensed table.LabelsAbove td.label {
      border-bottom-width: 0.454em;
      /*5px*/
    }

    /* Margin between 2 adjacent columns for Labels on left*/
    body.Relaxed table.LabelsLeft tr>td.cell,
    body.Relaxed div.Email table.LabelsLeft tr td.cell {
      border-right-width: 1.846em;
      /*24px*/
    }

    body.Regular table.LabelsLeft tr>td.cell,
    body.Regular div.Email table.LabelsLeft tr td.cell {
      border-right-width: 1.417em;
      /*17px*/
    }

    body.Condensed table.LabelsLeft tr>td.cell,
    body.Condensed div.Email table.LabelsLeft tr td.cell {
      border-right-width: 1.273em;
      /*14px*/
    }

    /* Margin between 2 adjacent columns for Labels on top*/
    body.Relaxed table.LabelsAbove td.label {
      border-right-width: 0.769em;
      /* 10px */
    }

    body.Regular table.LabelsAbove td.label {
      border-right-width: 0.667em;
      /* 8px */
    }

    body.Condensed table.LabelsAbove td.label {
      border-right-width: 0.454em;
      /* 5px */
    }

    /* Vertical spacer between Label and data for Labels above*/
    body.Relaxed table.LabelsAbove td div.cell {
      margin-top: 0.385em;
      /* 5px */
    }

    body.Regular table.LabelsAbove td div.cell {
      margin-top: 0.333em;
      /* 4px*/
    }

    body.Condensed table.LabelsAbove td div.cell {
      margin-top: 0.273em;
      /* 3px*/
    }

    /* Top and bottom padding on label to match the vertical alignment of field data instead of gray backgrnd for labels on left*/
    body.Relaxed table.LabelsLeft tr>td.label,
    body.Relaxed div.Email table.LabelsLeft tr td.label {
      padding: 0.769em 0;
      /*10px*/
    }

    body.Regular table.LabelsLeft tr>td.label,
    body.Regular div.Email table.LabelsLeft tr td.label {
      padding: 0.5em 0;
      /*6px*/
    }

    body.Condensed table.LabelsLeft tr>td.label,
    body.Condensed div.Email table.LabelsLeft tr td.label {
      padding: 0.454em 0;
      /*5px*/
    }

    body.Relaxed table.LabelsLeft tr>td.label,
    body.Relaxed div.Email table.LabelsLeft tr td.label {
      border-right-width: 0.769em;
      /*10px*/
    }

    body.Regular table.LabelsLeft tr>td.label,
    body.Regular div.Email table.LabelsLeft tr td.label {
      border-right-width: 0.5em;
      /*6px*/
    }

    body.Condensed table.LabelsLeft tr>td.label,
    body.Condensed div.Email table.LabelsLeft tr td.label {
      /*QBE011305 Use fixed size as Chrome is calculating a different EM value then the other browsers. */
      border-right-width: 0.454em;
      /*5px*/
    }

    /* All around padding so the field data is not edge to edge with the gray background -- Same for Labels on top and left*/
    body.Relaxed table.LabelsAbove td div.cell,
    body.Relaxed table.LabelsLeft td.cell {
      padding: 0.769em;
      /* 10px */
    }

    body.Regular table.LabelsAbove td div.cell,
    body.Regular table.LabelsLeft td.cell {
      padding: 0.5em;
      /* 6px */
    }

    body.Condensed table.LabelsAbove td div.cell,
    body.Condensed table.LabelsLeft td.cell {
      padding: 0.454em;
      /* 5px */
    }

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                      <p style="text-align:center;color: #333333; border-top: 2px solid #3a606e; border-bottom: 2px solid #3a606e; padding: 5px;font-size: 14pt;min-width: 820px">ELECTIVE REQUEST</p>
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                    <div id="tdf_11" class="cell cc"><a href="br6tjf2hz?a=dr&amp;rid=10">Anejenette Marie Butler</a></div>
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          <div><!--The div around the table is so that the toggling can be animated smoothly-->
            <table id="sect_s16" class="formSection LabelsAbove">
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                      <p style="max-width: 900px;font-size: 16px; margin: 0px; 
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                    <div id="tdf_29" class="cell cc MultiLineTextField">This location had 2 patient health rooms, 1 for immunizations and 1 for covid testing. They just converted to a Vanderbilt clinic and lost both rooms for internal usage. I have
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                        most requests.</span></div>
                  </td>
                </tr>
                <tr class="formRow ">
                  <td id="tdl_32" class="label lc">
                    <label class="fieldLabel "><b>Attachment 1</b></label>
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                          <tr>
                            <td class="InlineImageTitle"><a href="/up/brwmmgfew/g/rk6/et/va/IMG_0492.jpg" target="_blank">IMG_0492.jpg</a></td>
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        <div class="sectionDiv expanded">
          <div class="Title expanded ToggleSection shead" id="sect_s18Header">
            <span class="sectionTitle"></span>
          </div>
          <div><!--The div around the table is so that the toggling can be animated smoothly-->
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                    <label class="fieldLabel "><b>Note:</b></label>
                    <div id="tdf_36" class="cell cc RichTextField"><span style="font-size: 10pt;color: #002469;">Click 'Submit' to process your request. </span><span style="font-size: 10pt;color: #002469;text-decoration:underline;"> A confirmation
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    <div class="builtInFields"> Created today at 10:50 AM (CDT). Last updated by <a href="#" tabindex="-1" id="lastModifier">Skudrovskis, Alex</a> today at 12:02 PM (CDT). Owned by <a href="#" tabindex="-1" id="recordOwner">Anonymous</a>. </div>
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      <div class="Headline"><span class="User Icon"></span>Alex Skudrovskis</div>
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POST

<form method="POST" id="saveAsReportForm" novalidate="novalidate">
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</form>

Text Content

  For which table?

Program Requests Elective Requests Program Store Capture List Elective Store
Capture List Documents App Documents Reason Codes RVPs Review Assignments
Document Repository Request Comments Cancel




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FOR WHICH TABLE?

Program Requests Elective Requests Program Store Capture List Elective Store
Capture List Documents App Documents Reason Codes RVPs Review Assignments
Document Repository Request Comments
 * Home
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Elective Requests
Elective Request #348
Edit More
Reports & Charts


Table
Show your data in a spreadsheet-style report with rows and columns.
Kanban
Work with your data as cards in columns. Unavailable for this table because it
has no valid multiple-choice or user fields.
Summary
Group and total your data to answer questions about large data sets.
Chart
Visualize your data in charts including pie, bar, line and others.
Map
Display records with an address as pins on a map.
Calendar
Show your data as events on a calendar to help with scheduling and timing.
Timeline
Create a Gantt chart for records that have start and end dates.

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Date Submitted
05-16-2022

ELECTIVE REQUEST

Requester First Name
Heath
Requester Last Name
Estep



Requester Phone
6158701065
Requester Email
heath.estep@walgreens.com
Sponsor

RVP
Anejenette Marie Butler
GVP, Field


STORE INFORMATION

Instructions:
Please indicate the stores impacted by this request by populating the
spreadsheet that can be downloaded here .
The ID number (348) must be added to the template under the ID# Column. Click to
see example.

1. Import Store List

IMPORT

(Opens in new browser tab)

2. Review Submitted Store List

REVIEW

(Opens in new browser tab)

REQUEST DETAILS

Request Title
Rx Immunization Room
Reqeust Category
Other
Request Description
I'd like to request an rx immunization room be installed out on the sales floor
if possible. I have provided an example image of the room I'm looking for.
Justification
This location had 2 patient health rooms, 1 for immunizations and 1 for covid
testing. They just converted to a Vanderbilt clinic and lost both rooms for
internal usage. I have attached a potential location.

Request documents

Note:
Provide photos of the impacted area. Must be provided for most requests.
Attachment 1

Patient Immunization Room.jpg

Attachment 2

IMG_0492.jpg




Note:
Click 'Submit' to process your request. A confirmation email will be sent to the
email listed in the submission with details of your request.
SUBMIT


Created today at 10:50 AM (CDT). Last updated by Skudrovskis, Alex today at
12:02 PM (CDT). Owned by Anonymous.
Anonymous

Alex Skudrovskis

Show fields from Show fields from Show fields from a related table

a table related to ""





Report Name * Description Show description on report page

Reports and Charts Panel
Each table has a panel listing its reports and charts, organized in groups.
Please wait while your new report is saved...

Print the report as a table Print one Elective Request per page ( total) Using
the form:

Print as much of the timeline as fits on a single page Print the timeline over
multiple letter-size pages in landscape orientation

New subscription... Print Search & replace in this report... Save as a
spreadsheet Clear New and Updated flags Sorting & grouping...
View as a calendar View as a timeline
Change the owner of these records... Delete all records in this report Show the
expanded URL for this report

Report

Group up Group down

Hide this column Add a column...

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Column properties... Field properties...

Sort A to Z Sort Z to A ------------- Group A to Z Group Z to A grouping by


Field label Column heading override Justification Auto Left Center Right What
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  Multiple values found.   more...


Fields in:

Fields to Extract:



Name for the new table: Items in the new table are called:

When you bring additional fields into a conversion, Quickbase often finds
inconsistencies. For example, say you're converting your Companies column into
its own table. One company, Acme Corporation, has offices in New York, Dallas
and Portland. So, when you add the City column to the conversion, Quickbase
finds three different locations for Acme. A single value in the column you're
converting can only match one value in any additional field. Quickbase needs you
to clean up the extra cities before it can create your new table. To do so, you
have one of two choices:

 * If you want to create three separate Acme records (Acme-New York, Acme-Dallas
   and Acme-Portland) click the Conform link at the top of the column.
 * If the dissimilar entries are mistakes (say Acme only has one office in New
   York and the other locations are data-entry errors) go back into your table
   and correct the inconsistencies—in this case, changing all locations to New
   York. Then try the conversion again.

Read more about converting a column into a table.







 

 

 

 

 

 

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