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Certify My Business' Compliance (For Employers)

Employers required to comply with Title 9 of the Spokane Municipal Code (Earned Sick and Safe Leave) must annually certify their compliance with the ordinance.

Compliance Certification Information

Please read the information below and click the appropriate option. *

Compliance Options
Choose one of the following options.


Business/Employer Information

Business/Employer name

Your Business/Employer UBI

First name

Last name

Email address appears valid.

Primary contact phone number.

Business/Employer Address

Street address only - number, direction, and name, or P.O. Box.

Optional - use for apartment, suite, unit, building, floor, etc.

City only, no state or zip.

State Abbr.

Zip Code.

Sign and Date

Signature Acknowledgement *

By checking this box, you are acknowledging that the information on this form is true and correct to the best of your knowledge.

Sign (type) your name

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