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The following list of resources are for anyone in need who has been affected by the COVID-19 crisis in our region.

Name: Online COVID-19 Assessment offered by Providence Medical
Hours: 24 hours daily.
Description: Maintains an online assessment tool where users can answer questions that will help determine whether they may have COVID-19.
Eligibility: No restrictions.
Intake Process: Visit website.
Website: https://www.providence.org/patients-and-visitors/coronavirus-advisory

Name: Deferred Utility Payment Plans for People affected by COVID-19 offered by City of Seattle’s Human Services Department
Address: 810 3rd Ave Suite 440 Seattle WA 98104
Phone: 206-684-3000
Hours: M-F, 8:30am-4:30pm.
Description: Allows Seattle City Light and Seattle Public Utilities customers to set up deferred payment plans if they are having difficulty paying their bills because of the COVID-19 virus. Payment arrangements will be based upon individual customer needs. Utility service will stay on as their deferred payment plans are developed and implemented. Also eliminate the 1% late fee added to past due balances.
Eligibility: Those who receive bills from Seattle City Light or Seattle Public Utilities whether residential or commercial.
Intake Process: Call or send an email via the website.
Fees: Plan is based on customer needs.
Travel Info: Located in downtown Seattle, between Marion & Columbia Streets. Call King County Metro at (206) 553-3000 or visit http://tripplanner.kingcounty.gov/ for public transit information.
Website: http://www.seattle.gov/utilities/about-us/email-question

Name: Family Food Hotline offered at WithinReach
Phone: 888-436-6392
Hours: M-Th, 8am-5:30pm; F, 8am-5pm.
Description: Offers a statewide, toll-free telephone line providing screening for the Basic Food program (i.e. food stamps) and the supplemental nutrition program for Women, Infants and Children (WIC). Helps clients who are enrolled in the Basic Food program submit paperwork for their six-month and annual reviews. Provides guidance on when and where clients can go to complete annual interview with DSHS, what documents may be needed for verification, and explains options for in-person versus over-the-phone services. Can also help clients with transfer of food benefits from another state. Provides referrals to locations of the Summer Meals Program, as well as food pantries. Also provides similar information via the website. Website includes a “Benefit Finder” for determining eligibility and applying for food programs.
Eligibility: Eligibility for benefits programs depends on household income.
Intake Process: Call or visit website.
Fees: None.
Email: info@withinreachwa.org
Website: http://www.parenthelp123.org

Name: Health Insurance Information offered at WithinReach
Phone: 877-543-7669
Hours: M-Th, 8am-5:30pm; F, 8am-5pm.
Description: Provides eligibility screening and application assistance for Washington health insurance programs, including WA Apple Health (Medicaid) and SCHIP (State Children’s Health Insurance Program) and Qualified Health Plans.
Eligibility: State Children’s Health Insurance Program: Children through age 18 in families with incomes up to 300% of the Federal Poverty Level. Washington Apple Health: Adults in families with incomes up to 138% of the Federal Poverty Level. Qualified Health Plan: Families with incomes up to 400% of the Federal Poverty Level.
Intake Process: Call.
Fees: None, or low-cost depending on income levels.
Email: info@withinreachwa.org
Website: http://withinreachwa.org

Name: Emergency Food offered at Emergency Feeding Program of Seattle and King County
Address: 851 Houser Way North #A Renton WA 98057
Phone: 425-277-0300
Hours: M-Th, 8am-3pm.
Description: Provides emergency food bags and food packs to individuals and families experiencing a hunger crisis. Food packs include six complete, nutritionally balanced meals per person, regardless of household size. Provides 15 different types of packs to accommodate special dietary and cultural needs, including the following: – Diabetic – Low sodium – Vegan – Liquid protein – Infant – Asian, East African, Latino – Snack pack for teens – No-cook pack for people who are experiencing homelessness
Eligibility: No restrictions.
Intake Process: Visit the main site to receive food or apply to partnering distribution sites. Clients can visit the website to find a list of distribution sites, or if they do not have Internet access, can call the main number to receive a list of distribution sites over the phone. For website, click on “What We Do,” then click on “Find Food.”
Fees: None.
Travel Info: Located northeast of downtown Renton in the Renton Landing area, just south of NW Park Dr, between Lowe’s and I-405. Call King County Metro at (206) 553-3000 or visit http://tripplanner.kingcounty.gov/ for public transit
Email: lfranklin@emergencyfeeding.org
Website: http://www.emergencyfeeding.org

Name: Moratorium on Residential Evictions offered by City of Seattle
Address: 810 3rd Ave Suite 440 Seattle WA 98104
Phone: 206-684-5700
Hours: M-F. 8am-5pm.
Description: Placed a temporary moratorium on residential evictions to keep Seattle families from losing their homes as a result of impacts from the pandemic. The moratorium halts any residential eviction action related to the non-payment of rent for 30 days. It also prohibits late fees or other charges for late payment of rent. Property owners may not issue “Pay or Vacate” notices for nonpayment of rent during this period nor initiate an eviction action with the courts. The order further directs that action upon existing pay or vacate notices cannot be taken. For tenants who must appear in court, the moratorium should be used as a defense. If a tenant does not appear in court, the court may grant a continuance to allow the matter to be heard at a later date, after the moratorium has lifted. Tenants are required to continue paying their rent if they are able and should work with their landlords on payment plans if they are experiencing financial hardship. The moratorium lasts from March 14-April 13, 2020 or until the civil emergency ends, whichever is sooner. It may be extended if necessary. At the end of the moratorium, the landlord may issue a 14-day notice for any rent balance that remains unpaid but may not charge fees for late or partial payments made during the moratorium.
Eligibility: Residents of the city of Seattle who cannot afford to pay rent due to impact from COVID-19.
Intake Process: Tenants who receive an eviction notice for not paying rent during the temporary moratorium can call or go online to submit a complaint.
Fees: None.
Travel Info: Located in downtown Seattle, between Marion & Columbia Streets. Call King County Metro at (206) 553-3000 or visit http://tripplanner.kingcounty.gov/ for public transit information.
Website: https://durkan.seattle.gov/2020/03/mayor-durkan-signs-emergency-order-to-halt-residential-evictions/

Name: Customer Service/Bill Payment Arrangements offered by Puget Sound Energy at Natural Gas/Electric Services
Phone: 888-225-5773
Hours: M-F, 7:30am-6:30pm.
Description: Handles billing inquiries and arranges payment plans. Budget Payment Plan provides monthly billings and spreads the cost of annual energy usage evenly throughout the year. Third party designee (protective payee) serves as client liaison with Puget Sound Energy regarding payments and notices; third party is not obligated for payment. Other payment plans may also be available. Also offers winter disconnection moratorium in accordance with Washington Administrative Code WAC 480-100-128, from November 15 to March 15, allowing qualifying customers to avoid disconnection by setting up a bill payment plan. Customers must provide written notice of inability to pay within five business days of late notice (unless there are extenuating circumstances) and follow detailed application process. Call PSE for detailed information. Customers with a verified medical emergency, including dependency on a life support system, may apply for a 60-day extension of current electric or natural gas bill.
Eligibility: Budget Payment Plan: – All Puget Sound Energy customers are eligible for assistance. Winter Disconnection Moratorium Program: – Income limits apply – Documentation required 60-day Medical Emergency Extension: – Puget Sound Energy customers with a serious illness or medical emergency who have difficulty paying a delinquent electric or natural gas bill may be eligible. – Documentation required.
Intake Process: Call customer service for payment options or visit the website.
Required Documents:
Fees: None.
Email: customercare@pse.com
Website: http://www.pse.com

Name: Emergency Low-Income Assistance Program offered by Seattle City Light
Address: 700 5th Ave Seattle Municipal Tower, Suite 3200 Seattle WA 98104
Phone: 206-684-3688
Hours: M-F, 8am-5pm.
Description: Provides grants to help qualifying low-income households pay electric bills. ELIA grants are provided once each year per household. Program serves Seattle City Light customers who have received an urgent or shut-off notice on a balance of $250 or more; participants may receive up to $200 maximum. To participate in ELIA, customers must first make the payment that is due to avoid disconnection, as well as payment arrangements on the remaining balance. ELIA does not help with bills in collections, with the payment amount required to prevent shut-off or the reconnection required amount, but may be able to help with the additional outstanding balance once the shut-off prevention balance or reconnection required amount has been paid. Offers multi-ethnic outreach through brochures that are available in Cambodian, Chinese, Korean, Laotian, Spanish and Vietnamese languages. Refers customers to Project SHARE if they need additional assistance, have exhausted all other resources, meet income specifications and have an account balance of $125 or more. Project SHARE is a program funded by customer donations. Initially, it will pay up to $250 towards an electric bill. If more assistance is needed, a customer may qualify to receive up to $250 in addition to the initial payment of $250. Maximum amount of assistance available through Project SHARE is $500.
Eligibility: Seattle City Light customers only, whether inside or outside Seattle. Household income at or below 70% AMI. Must be the primary utility account holder. Must have already obtained assistance through LIHEAP when that program is open for appointments in their area. Must have an urgent or shut-off notice on a balance of $250 or more AND customer needs to first make the payment that is due to avoid disconnection, as well as make payment arrangements on the remaining balance. ELIA refers callers to Project SHARE if more assistance is necessary. Project SHARE also serves Seattle City Light customers with a household income at or below 70% AMI.
Intake Process: Applicants MUST get an appointment with LIHEAP before receiving assistance from ELIA, UNLESS: – They have total household income greater than 125% FPL (not eligible for LIHEAP) – They have already accessed LIHEAP during the current season – LIHEAP assistance for their area is currently closed In the above cases, an applicant may call ELIA directly for a screening and application.
Required Documents: Documents Required: – Urgent or shut-off notice – Proof of income for one month previous to applying
Fees: None.
Travel Info: Located in downtown Seattle on 5th Ave between Columbia & Cherry Streets. Call King County Metro at (206) 553-3000 or visit http://tripplanner.kingcounty.gov/ for public transit information.
Email: respond.scl@seattle.gov
Website: http://www.seattle.gov/light/assistance/assistance.asp

Name: Utility Discount Program offered by City of Seattle’s Human Services Department
Address: 810 3rd Ave Suite 440 Seattle WA 98104
Phone: 206-684-0268
Hours: M-F, 8:30am-4:30pm.
Description: Utility Discount Program – Offers a rate discount for income-eligible Seattle City Light and Seattle Public Utilities (water, sewer, garbage) customers. Discount is approximately 60% for Seattle City Light and 50% for Seattle Public Utilities. If a landlord pays all utilities, qualifying low-income tenants may still be eligible for utility financial help. More information: 1. How long does it take to process my application? Due to large volume of applications received, the average time to process an application is 1-2 months. However, if your application has all the requested documents (government issued photo ID, one month of income documentation for all household members age 18 and older) it will shorten the process time and help expedite the approval process. 2. How will I know if I’ve been approved? If you have a Seattle City Light bill or a Seattle Public Utilities bill in your name, the discount will be noted “Utility Discount Program Savings” on your bill. Please note: If you live in the SPU service territory and do not have an SPU bill in your name, you may be eligible for the utility credit, which may be added to your SCL account. 3. Will this help with the bill that I have now? The Utility Discount Program is retroactive back to the date the application is received if all required documents are submitted with the application. We recommend that applicants continue to make payments or seek other options (payment arrangements or other programs that can help with the immediate bill(s)). 4. What if I have a disconnect bill (SPU or SCL bill that says non-payment will result in service disconnection) and I’ve been waiting for my application to be processed? Please contact SCL or SPU directly and make payment arrangements if you are unable to pay the full amount. You may also be eligible for other assistance such as the Energy Assistance Program (SPU), Emergency Low Income Assistance (SCL) or Project Share (SCL). Please note many programs may have different requirements and eligibility processes. Submitting an application does not guarantee benefits or an expedited process if your household is subject to disconnection. 5. How much is the discount and how long will I be on the program? The discount is approximately 50% to 60% for qualifying SCL or SPU bills. The average time you will be on the program once approved is two years for non-senior households and three years for senior-only (ages 65+) households. Thirty-seven days prior to a customer’s recertification date, the customer is contacted by telephone and/or email. If a customer does not have a phone number, thirty-six days prior to the recertification date, the customer is sent a postcard. Customers will need to complete a recertification form with an updated household status and provide supporting documents. 6. Will the discount move with me if I move to another apartment or another residence? Yes. Customers that moved to another residence or another unit in the same apartment must first contact SCL to request the discount moved to their new address and then contact the Utility Discount Program for a follow-up. If you are up for recertification, you must first complete the recertification process prior to having the discount moved to the new address.
Eligibility: All Seattle City Light and Seattle Public Utilities customers at or below 70% State Median Income, regardless of city of residency. Account must be in the primary applicant’s name. Income eligibility is based on total household income during the one month period prior to application. If a landlord pays all utilities, qualifying low-income tenants may still be eligible for utility financial help.
Intake Process: Call, visit in person or visit website for application.
Required Documents: Due to COVID-19, the city is expediting the enrollment process by providing a self-certification form to sign without having to provide income documentation.
Fees: None.
Travel Info: Located in downtown Seattle, between Marion & Columbia Streets. Call King County Metro at (206) 553-3000 or visit http://tripplanner.kingcounty.gov/ for public transit information.
Email: udp@seattle.gov
Website: http://www.seattle.gov/udp

Name: Apple Health offered at Washington Health Plan Finder
Address: 521 Capitol Way South Olympia WA 98501
Phone: 855-923-4633
Hours: M-F, 7:30am-5:30pm.
Description: Provides medical benefits for individuals and families with limited incomes. The following health care services are covered by WA Apple Health (Medicaid): – Appointments with a doctor or health care professional for necessary care – Medical care in an emergency – Maternity care – Mental Health services – Treatment for chemical or alcohol dependence – Dental and vision care – Prescription medications – Transportation to and from medical appointments, when necessary – An interpreter for your appointment, if you do not speak English (arranged through your provider)
Eligibility: Adults and families who are at 138% of the Federal Poverty Level who are not eligible for Medicare. Undocumented immigrants are eligible for emergent conditions only if they are otherwise eligible for Apple Health. Cannot be currently incarcerated. Covers children only in families with income up to 300% of the Federal Poverty Level. Covers pregnant/post partum women up to 185% of the Federal Poverty Level.
Intake Process: To sign up or renew coverage, call or visit www.wahealthplanfinder.org For information about common health insurance terms and important information to consider when selecting a health plan, visit www.knowyourplan.org.
Fees: None for adults under 138% of the Federal Poverty Level and children in families under 200% of the Federal Poverty level. Families with children at an income between 200 and 300% of the Federal Poverty Level pay a $20 or $30 a month premium per child.
Website: http://www.wahealthplanfinder.org

Name: Health Benefit Exchange offered at Washington Health Plan Finder
Address: 521 Capitol Way South Olympia WA 98501
Phone: 855-923-4633
Hours: M-F, 8am-5pm.
Description: Open enrollment begins November 1st and runs until December 15th, 2019. Provides information about health insurance plans available to Washington state residents, including WA Apple Health (Medicaid). Determines if the user may be eligible for financial help paying for a health plan, and helps the user enroll. Coordinates an online marketplace where individuals can apply for, learn about and be approved for medical coverage under various insurance options. Offers comparisons of health plans. Qualifies applicants for tax credits or financial help to pay for copays and premiums. All insurance plans listed in the Health Plan Finder must cover essentials, including visits to the doctor and emergency room, prescriptions, maternity care and preventive care like cancer screenings and immunizations. In addition, no one will be denied coverage because they are sick or have a pre-existing condition. Most health plans are not allowed to have annual benefit limits and none are allowed to have lifetime benefit limits.
Eligibility: Families and individuals earning up to 400 percent of the Federal Poverty Level are eligible for help with paying for premiums and copays. Families and individuals earning less than 138 percent of the Federal Poverty Level are eligible for WA Apple Health (Medicaid). Special Enrollment: Certain life events including but not limited to – Getting married – Having a child – Moving to a new area – Losing health coverage may qualify applicants for a Special Enrollment period. Existing customers can report a change through their Washington Healthplanfinder accounts. New customers can apply now to check if they qualify.
Intake Process: To sign up or renew coverage, call or visit www.wahealthplanfinder.org For information about common health insurance terms and important information to consider when selecting a health plan, visit www.knowyourplan.org.
Fees: All plans sold on Washington Healthplanfinder will have four levels of cost-sharing. These are called ‘metal levels’ and include: – Bronze – Silver – Gold – Platinum The difference between the levels is based on how much of the medical costs your health plan picks up and how much is your share through copays and coinsurance.
Website: http://www.wahealthplanfinder.org

Name: COVID-19 Related Relief for Businesses offered by Washington State Department of Revenue
Address: 2101 4th Avenue Suite 1400 Seattle WA 98121
Phone: 360-705-6705
Hours: M-F, 8am-5pm.
Description: Works with businesses that cannot file or pay their taxes on time due to the COVID-19 outbreak. Affected businesses that owe Washington taxes may qualify for the following assistance: – Filing extension for excise tax returns – Late payment penalty waiver request – Rescheduling of a planned audit (contact the auditor). – More time to file a business license or registration renewal (Call Business Licensing Service at 360-705-6741 or by email at BLS@dor.wa.gov). – An extension of its expiring resellers permit (Call 360-705-6705 or by email at Reseller@dor.wa.gov).
Eligibility: Washington state businesses that cannot file or pay their taxes on time due to the COVID-19 outbreak.
Intake Process: Request an extension or penalty waiver by sending a secure email in your “My DOR account” or call.
Fees: None.
Travel Info: The building is located on the west side of 4th Avenue between Lenora and Blanchard streets in the Sedwick James Building. Call King County Metro at (206) 553-3000 or visit http://tripplanner.kingcounty.gov/ for public transit information.
Website: https://dor.wa.gov/about/2019-novel-coronavirus-outbreak-covid-19-update

Name: Disaster Loan Assistance offered at U.S Small Business Administration
Address: 409 3rd Street Southwest Washington DC 20024
Phone: 800-659-2955
Hours: 24 hours daily.
Description: Provides Economic Injury Disaster Loans to small businesses, small agricultural cooperatives, and private non-profit organizations located in a declared disaster zone. Washington State has been declared a COVID-19 disaster zone The interest rate on the EIDLs will not exceed 4% per year. The repayment term is determined by the organization or business’s ability to repay the loan. EIDL assistance is available only to small businesses when the Small Business Administration determines they are unable to obtain credit elsewhere.
Eligibility: Small businesses, small agricultural cooperatives, and private non-profit organizations located in a declared disaster zone having suffered substantial economic injury.
Intake Process: Apply online.
Required Documents: Must submit a completed loan application and a signed and dated IRS Form 4506-T giving permission for the IRS to provide SBA your tax return information.
Fees: None.
Email: disastercustomerservice@sba.gov
Website: https://disasterloan.sba.gov/ela/Information/EIDLLoans

Name: Emergency Fund for Small Businesses Impacted by COVID-19 offered by City of Seattle
Address: 700 5th Ave Seattle Municipal Tower, Suite Seattle WA 98104
Phone: 206-684-8090
Hours: M-F, 8am-5pm.
Description: Provides working capital grants in amounts up to $10,000 to qualifying small businesses affected by COVID-19. Grants may be used to cover the day-to-day operating expenses of the business, such as payroll or losses due to destabilizing events. Has approximately $1.5 million in one-time Community Development Block Grant (CDBG) funds available.
Eligibility: The business owner must have a low- or moderate-income (≤80% of the Area Median Income). The business must have five employees or less. The business must have a physical establishment. The business must have experienced a loss of income due to COVID-19. Businesses that are franchises, chains, or restricted to patrons above the age of 18 are not eligible.
Intake Process: Visit website to apply or call for a paper copy of the application.
Required Documents: Federal regulations require that the business provide proof of loss of revenue due to a destabilizing event.
Fees: None.
Travel Info: Located on block between Columbia and Cherry St. Call King County Metro at (206) 553-3000 or visit http://tripplanner.kingcounty.gov/ for public transit information.
Email: oed@seattle.gov
Website: http://www.seattle.gov/office-of-economic-development/small-business/small-business-programs-/stabilization-fund-

Name: Employer Assistance Program offered by Washington State Department of Labor & Industries
Address: 7273 LINDERSON WAY SOUTHWEST TUMWATER WA 98501
Phone: 360-902-4817
Hours: M-F, 8am-5pm.
Description: Works with financially distressed businesses impacted by the economy, natural disasters, or other serious problems to arrange a payment plan for workers’ compensation premiums. L&I waives late penalties and interest if qualifying businesses pay their premiums within 90 days. Penalties and interest may be applied for longer payment periods. Businesses must also pay future quarterly premium payments by the regular deadline, which is 30 days after the end of each quarter. In some cases, the payment plan can be renegotiated if a business goes deeper into financial distress.
Eligibility: Businesses impacted by the economy, natural disasters, or other serious problems.
Intake Process: Businesses should contact their L&I account manager or call employer services.
Fees: None.
Email: SmallBusiness@Lni.wa.gov
Website: https://www.lni.wa.gov/agency/outreach/employer-assistance-program

Name: Workers’ Compensation Coverage for those Affected by COVID-19 offered by Washington State Department of Labor & Industries
Address: 7273 LINDERSON WAY SOUTHWEST TUMWATER WA 98501
Phone: 877-561-3453
Hours: M-F, 8am-5pm.
Description: Allows for treatment of COVID-19 when work-related activity has resulted in probable exposure to the virus and certain criteria are met. – The worker’s occupation must have a greater likelihood of contracting the disease because of the job (examples include first responders or health care workers). – There must also be a documented or probable work-related exposure, and an employee/employer relationship. Accepts claims of health care workers and first responders who are quarantined after COVID-19 exposure on the job. Other quarantine claims will be looked at on a case-by-case basis. Time-loss payments may be allowed for lost wages during the quarantine period of up to 14 days. Appropriate, medically required testing/surveillance would also be covered. When the contraction of COVID-19 is incidental to the workplace or common to all employment (such as an office worker who contracts the condition from a fellow employee), a claim for exposure to and contraction of the disease will be denied.
Eligibility: Workers exposed to COVID-19.
Intake Process: Call or apply online.
Fees: None.
Website: https://www.lni.wa.gov/agency/outreach/workers-compensation-coverage-and-coronavirus-covid-19-common-questions

Name: Unemployment Benefits for Employees Affected by COVID-19 offered by Washington State Employment Security
Phone: 800-318-6022
Hours: M-F, 8am-4pm.
Description: Adopted a series of emergency rules to relieve the burden of temporary layoffs, isolation and quarantine for workers and businesses. The new rules allow current unemployment claimants who are in isolation or quarantine as a result of COVID-19 more leniency when it comes to deadlines and mandatory appointments, such as deadlines for applying for training programs, job search reviews or mandatory reemployment service appointments. If an employee is sick they may be eligible for Paid Family & Medical Leave. Once they recover they may be eligible for unemployment benefits if they have lost their job as a result. Workers who have been asked to quarantine but are not sick may be eligible for unemployment benefits. Workers who are laid off work temporarily or have reduced hours due to a business slowdown or a lack of demand as a result of COVID-19, may be able to receive unemployment benefits.
Eligibility: Employees whose work schedule has been affected by COVID-19.
Intake Process: Apply online or by phone.
Fees: None.
Travel Info: Agency is located in a secured facility and is not open to the public.
Website: https://esd.wa.gov/newsroom/covid-19

Name: Paid Family & Medical Leave offered by Washington State Employment Security
Phone: 833-717-2273
Hours: M-F, 8am-4pm.
Description: Provides paid time off for Washington state residents when a serious health condition prevents them from working or when they need time to care for a family member or a new child, or for certain military-related events. Provides up to 90 percent of weekly pay, up to a maximum of $1,000 a week. Most Washington workers are eligible for up to 12 weeks of Paid Family and Medical Leave a year. Some may qualify for up to 18 weeks of paid leave. The leave does not have to be used all at once. MEDICAL LEAVE When a serious health condition prevents an employee from working, medical leave covers a wide range of serious health needs such as major surgery, after giving birth to a baby, for bed rest during pregnancy, to receive treatment for a chronic health condition, and to receive inpatient treatment for substance abuse or mental health. FAMILY LEAVE When an employee needs to take time off to care for a family member and the family member has a serious health condition that would qualify them for medical leave, or if they’re welcoming a new baby or child into their family, they are eligible for family leave. MILITARY FAMILY LEAVE Allow Washington workers to spend time with a family member in the military if the family member is about to be deployed overseas or is returning from overseas deployment.
Eligibility: Must have worked at least 820 hours in the past year, or about 16 hours per week in Washington state and have a certification of a serious health condition. These are the family members Washington residents can take paid leave to care for: – Spouses and domestic partners – Children (biological, adopted, foster or stepchild) – Parents and legal guardians (or spouse’s parents) – Siblings – Grandchildren – Grandparents (or spouse’s grandparents)
Intake Process: Visit website to apply online or call to request a paper application. The Certification of a Serious Health Condition form can be emailed to your healthcare provider and emailed back to you, then uploaded to your Paid Leave account. Electronic signatures are accepted. After you submit your application, Paid Family and Medical Leave program staff will review it to: – Make sure you have worked enough hours to qualify; – Confirm that your event qualifies for paid leave; – Record the length of leave that your medical provider has certified (for your own medical leave or leave to take care of a family member for medical reasons); and – Determine how much pay you are eligible to receive during your leave.
Required Documents: Proof of ID Certification of Serious Health Condition for self or family member Active duty orders (for military family leave only)
Fees: None.
Travel Info: Agency is located in a secured facility and is not open to the public.
Website: https://paidleave.wa.gov/

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