Leave of Absence

Leave of Absence | On-the-Job Injury | Employee Accommodations

To Apply for a Leave of Absence

Pease review the documents and applications below, and then complete the appropriate forms and submit to: 

Cherie Broeker
Clover Park School District
Human Resources
10903 Gravelly Lake Dr SW
Lakewood WA 98499  
[email protected]
253-583-5120 or FAX 253-583-5088

To Report an On-the-Job Injury

To Request an Employee ADA Accommodation

All requests for employee accommodations (temporary or permanent) should begin with the Human Resources Accommodations Coordinator. Please email your accommodation request for your disability (temporary or permanent) to:

            Cherie Broeker
            [email protected]

The HR Coordinator for Employee Accommodations will initiate the interactive accommodation process. As part of the interactive process:

  • Forms will be sent to employee for completion prior to an accommodation meeting.
    • One form will be for employee’s physician to complete regarding his/her disability.
    • One form will be for the employee to complete regarding his/her disability.
  • After HR receives the forms, HR will schedule a meeting with employee and respective administrator to review the accommodation request and the essential functions of the employee’s position to determine how best to proceed.
  • If approved, an accommodation plan is then sent to an employee summarizing the accommodation.