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PDFWAC 491-04-070

What should my request for an appeal include?

Your appeal must include:
(1) In the case of illness or injury claims, the date and nature of the claim, and the place it occurred;
(2) A statement of what you want the board to do (relief requested) after considering the appeal;
(3) An explanation of why your request has merit;
(4) All facts relating to the request;
(5) The name and address of your attorney, if applicable; and
(6) Your name, address, phone number, facsimile number (if applicable), email address, and signature.
[Statutory Authority: RCW 41.24.290(2). WSR 13-21-050, ยง 491-04-070, filed 10/11/13, effective 11/11/13.]
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