LEOFF 1 Board 

Meeting Dates


Meetings take place in the Whitman County Public Service Building, 2nd Floor Conference Room at 310 N Main St., Colfax, WA  99111 beginning at 10:00 a.m.

  • Tuesday, October 26, 2021

  • Tuesday, November 23, 2021

  • Tuesday, December 21, 2021

LEOFF 1 BOARD MEMBERS

LEOFF 1 BOARD MEMBERS 2-Year Terms-Members All Terms Expire December 31st As of 12/30/2020
Member Position Appointed/Elected/Expires
Michael Largent  
400 N Main Street 
Colfax, WA 99111
(509) 397-5240-Work
(509) 397-3205
(509) 432-3984-Cell
Chairman, County Commissioners Aptd. By BOCC
Jim Retzer  
PO Box 229
Colfax, WA 99111
(509)397-3861 
City Representative 
Term Began 01/01/2021
Mayor of Colfax
Elected by Mayors
Term Expires 12/31/2022
Les Ruhs
Lesruhs16@gmail.com
Citizen at Large Aptd. by LEOFF 1 Board
Term Expires 12/31/2022
Steven R Tomson
Steven.Tomson@usdoj.gov
Law Enforcement Elected by LEOFF I Members
Term Expires 12/31/21
Tim Tingley
400 N Mill Street 
Colfax, WA 99111
(509) 397-3416-Work
fd2@colfaxwa.org
Firefighter Representative Elected by LEOFF I Members
Term Expires 12/31/22

Policy & Forms

  1. Policies and Procedures (PDF)
  2. Employees Statement (PDF)
  3. Employers Statement and Report on Application for Disability Retirement (PDF)
  4. List of Health Care Providers (PDF)
  5. Health Care Provider Statement (PDF)
  6. Health Care Provider Treatment Plan (PDF)
  7. Medical Expense Claim (PDF)
  8. Medical Expense Claims Procedures (PDF)
  9. Employer Statement Regarding Medical Expense Claim (PDF)
  10. Medical Request for Home Health Care (PDF)
  11. Reimbursement (Medicare) (PDF)
  12. Reimbursement (Non-Medicare) (PDF)
  13. Member Insurance Coverages (to Be Completed Annually) (PDF)
  14. Nomination Letter Firefighter Representative (PDF)
  15. Nomination Form Firefighter Representative (PDF)
  16. Nomination Certification Firefighter Representative (PDF)
  17. Ballot Form Firefighter Representative (PDF)
  18. Election Certification Firefighter Representative (PDF)
  19. Nomination Letter - Law Enforcement Officer Representative (PDF)
  20. Nomination Form Law Enforcement Officer Representative (PDF)
  21. Ballot Form Law Enforcement Officer Representative (PDF)
  22. Election Certification Law Enforcement Officer Representative (PDF)
  23. Nomination Certification Law Enforcement Officer Representative (PDF)
  24. HIPAA - Response to Access Health Information Record Letter (PDF)
  25. HIPAA - Revocation of Authorization for Use or Disclosure of Health Care Information-2 Pages (PDF)
  26. Amended Health Information (PDF)
  27. Amended Health Information (Page 2) (PDF)
  28. Approval Rejection of Claim Form Letter (PDF)
  29. Rejection of Claim Form Letter (PDF)
  30. HIPAA - PHI Disclosure Log (PDF)
  31. HIPAA - Acknowledgement (PDF)
  32. HIPAA - Sample Grievance Resolution Letter (PDF)
  33. HIPAA - Confidentiality Statement (PDF)
  34. HIPAA - Authorization to Release Private Information (Page 1) (PDF)
  35. HIPAA - Authorization to Release Private Information (Page 2) (PDF)
  36. HIPAA - Volunteer Service Provider Confidentiality Statement (PDF)