Protected Leaves

Need a leave of absence?

Requesting a leave of absence is a quick and easy process. Follow the steps below.


To request leave, start here:

Make sure to visit Family Medical Leave Act (FMLA)/Paid Family Medical Leave (PFML) FAQs for important information to know before you begin!


1.)    Print your Job Description

Click here to find your job description. Take your job description along with the forms below to your provider. In order for your provider to accurately access your situation, they need access to your job description. 

2.)    Take appropriate Certification Form & Job Description to your provider

Most providers don't fill out paperwork on demand. This could take several days for completion.

Leave is for...

  • Employee's own health condition: Certification of health care provider for employee
  • Family member's health condition: Certification of health care provider for family member
  • Other circumstances: Information about other leave types

3.)    Complete FMLA/Medical Leave Request Form

4.)    Submit Certification Form & FMLA/Medical Leave Request Form to HR

Once your provider has returned the completed certification form, submit both completed FMLA/Medical Leave Request form and Certification of Health forms to HR. 

Fax: 360.337.7187 OR mail: 614 Division Street, MS - 23A, Port Orchard, WA 98366-4676

5.)    HR Reviews the application and provides a designation

Based on the documents provided in accordance to FMLA regulations, HR will approve the request. deny it, or ask for more information. If approved, communication will be sent to the employee, their supervisor, and timekeeper, outlining the basic information of the leave. The ability to code time as FMLA will be opened in Workday at this time. 







Quick Links: