Leave Information

All Leave Request Form
Required to be completed for all leaves exceeding five consecutive work days and/or intermittent absences. 

Medical Certification Form, Employee Only
Required for medical leave requests for the birth of your child or for a serious health condition that makes you unable to perform your job functions

Medical Certification Form, Spouse, Child, Parent
Required for medical leave requests for the care of your spouse, child, or parent who has a serious medical condition

Return to Work Authorization
Required to return to work from all approved medical leaves. You must be released to return with no restrictions.

Shared Leave Request Form

Leave Types and Explanations

Sick Leave Frequently Asked Questions

Family and Medical Leave Frequently Asked Questions

Employment Security Department, Paid Family & Medical Leave Program Information

Submit all Leave Request forms to the Human Resources Department:
Attn: Laura Estey, HR Officer
(e) [email protected]
(p) 509-241-5067
(f)  509-927-9503


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