Report an Earned Sick and Safe Leave Violation

If you have questions about your rights to paid sick and safe leave, please contact us at 755-CITY (755-2489). If you wish to report a violation, please fill out the form below. The Sick and Safe Leave Ordinance prohibits employers from retaliating when an employee reports a violation.

*Please Note: Submitted forms are subject to the Washington State Public Records Act(Chapter 42.56 RCW), and may therefore be subject to public disclosure.

Your Information

Enter your contact information

First name is required.

Last name is required.

Phone number to contact you is required.

Business/Employer Information

Enter the employer's information

Business Name is required.

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.

Worksite Location and Question/Complaints

Worksite location and questions and/or complaints

Is your worksite in the Spokane City Limits? Visit MapSpokane to verify the address if you are uncertain *

Select Yes or No

This field is optional

Signature

Sign and submit your violation report

Signature Acknowledgement *

A selection is required.

Signature is required.