Disability Services Forms
Military Related Leaves
Beginning December 16, 2020, leaves of absence will be requested in Workday (workday.wsu.edu). See Workday Knowledge base reference guide Employee Request a Leave of Absence for instruction.
- Military Caregiver Leave Health Care Provider Statement – Covered Veteran
- Military Caregiver Leave Health Care Provider Statement – Active Servicemember
- Military Leave Certification of Qualifying Exigency
- Your Rights Under Uniformed Services Employment and Reemployment Rights Act (USERRA) – DOL Poster
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
- Pregnancy Accommodation Request Form
Shared Leave
Beginning December 16, 2020, shared leave requests and donations will be processed through Workday (workday.wsu.edu). See Workday Knowledge base reference guide Employee Request a Leave of Absence for instruction.
- Shared Leave Health Care Provider Statement – Medical Conditions
- Shared Leave Employee Request-Pregnancy Disability or Parental Leave
- Shared Leave – Employee Request Form – Domestic Violence, Sexual Assault, Stalking
State of Washington Shared Leave Pools
- 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-State Service Shared Leave Pool – State of Washington
- Shared Leave Donor Form – Veterans’ In-State 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
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