Disability Services Forms
Long Term Disability
Medical Leave
Military Leave
Modified Duties – Faculty
Reasonable Accommodation
Shared Leave
Victims of Domestic Violence, Sexual Assault or Stalking
Washington Paid Family & Medical Leave
Workers’ Compensation
Long Term Disability
Medical Leave
- Medical Leave Employee Request
- Medical Leave Health Care Provider Statement
- Medical Leave Work Assessment Return To Work (Own Condition)
- Employee Rights under the Family Medical Leave Act – DOL Poster
- L&I Protected Leave Laws – L&I Table
Military Leave
- Your Rights Under Uniformed Services Employment and Reemployment Rights Act (USERRA) – DOL Poster
- Military Caregiver Leave Health Care Provider Statement – Covered Veteran
- Military Caregiver Leave Employee Leave Request – Covered Veteran
- Military Caregiver Leave Health Care Provider Statement – Active Servicemember
- Military Caregiver Leave Employee Leave Request – Active Servicemember
- Military Leave Certification of Qualifying Exigency
Modified Duties – Faculty
Reasonable Accommodation
- Accommodation Request for Disability or Serious Medical Condition
- Medical Release Statement for Reasonable Accommodation Requests
- Health Care Provider Statement for Reasonable Accommodation Requests
Shared Leave
- Request to Donate Shared Leave
- Shared Leave Employee Request – Medical Condition
- Shared Leave Employee Request – Victims of Domestic Violence, Sexual Assault, or Stalking
- Shared Leave Employee Request – Uniformed Services Shared Leave Pool – State of Washington
- Shared Leave Donor Form – Uniformed Services Shared Leave Pool – State of Washington
- Shared Leave Employee Request – Veterans’ In Service Shared Leave Pool – State of Washington
- Shared Leave Donor Form – Veterans’ In Service Shared Leave Pool – State of Washington
- Shared Leave Employee Request – Foster Parent Shared Leave Pool – State of Washington
- Shared Leave Donor Form – Foster Parent Shared Leave Pool – State of Washington
- Shared Leave Health Care Provider Statement – Medical Conditions
Victims of Domestic Violence, Sexual Assault or Stalking Leave
Washington Paid Family & Medical Leave
- Online Application
- Paid Family & Medical Leave – Statement of Employee Rights – ESD
- Paid Family & Medical Leave Poster – ESD
Workers’ Compensation
- Online Incident Report
- Supervisors Accident Investigation Report
- Activity Prescription Form
- Minor Volunteer Consent and Release
- Volunteer Monthly Report
- Witness/Injured Person Statement
- Workers’ Compensation – File a Claim
- Notice to Employees – If a Job Injury Occurs – L&I Poster
- Your Rights as a Worker in Washington State – L&I Poster