WSU employees can find all required forms for medical leave, workplace accommodations, long-term health conditions, and workers’ compensation here. Use these forms to initiate requests and ensure timely processing of your needs.
Table of Contents
- Medical Leave
- Washington Paid Family & Medical Leave
- Reasonable Accommodation
- Shared Leave
- Worker Compensation
- Long-Term Disability Insurance Claim Forms
- Modified Duties – Faculty
- Military Related Leaves
- Occupational Exposure
- State of Washington Shared Leave Pools
- Domestic Violence, Sexual Assault or Stalking Leave and Protections
Medical Leave
Request a leave of absence (LOA) in Workday (workday.wsu.edu). Review the Workday reference guide Employee Request a Leave of Absence for instructions.
- 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
Washington Paid Family & Medical Leave
Reasonable Accommodation
Shared Leave
Request Shared Leave in Workday (workday.wsu.edu). Review the Workday reference guide Employee Request a Leave of Absence for instructions.
Worker 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
- Workers’ Compensation Benefits – A guide to inured workers L&I pamphlet
- Getting Back to Work: It’s Your Job and Your Future – L&I pamphlet
- Notice to Employees – If a Job Injury Occurs – L&I Poster
- Your Rights as a Worker in Washington State – L&I Poster
Long-Term Disability Insurance Claim Forms
Modified Duties – Faculty
Military Related Leaves
Request a leave of absence (LOA) in Workday (workday.wsu.edu). Review the Workday reference guide Employee Request a Leave of Absence for instructions.
- 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
Occupational Exposure
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
Domestic Violence, Sexual Assault or Stalking Leave and Protections
We’re Here to Help
Navigating all the benefits information can be daunting. We’re here to help make it stress free.
Quick Links
Return to the main Medical Leave & Accommodation section page, or open the panel below for more pages.
- Domestic Violence, Sexual Assault, Stalking Leave, Protections and Hate Crimes
- Faculty Modified Duties
- Shared Leave
- Workplace Injury/Illness
- Military Related Leaves
- Reasonable Accommodation
- Pregnancy and Parental Resources
- Long-Term Disability
- Paid Family and Medical Leave
- Medical Leave and Accommodation Forms
- Medical Leave
- Parent and Caregiver Resources
- Incident Report
- Leave Policies and Programs