Wash. Admin. Code § 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), e-mail address, and signature.

Notes

Wash. Admin. Code § 491-04-070

Statutory Authority: RCW 41.24.290(2). WSR 13-21-050, § 491-04-070, filed 10/11/13, effective 11/11/13. WSR 13-21-033, § 491-04-070, filed 10/9/2013, effective 11/9/2013