Section 182-16-040 - What should the request for review or notice of appeal contain? A request for review or notice of appeal should contain all of the following:
(1) The name and mailing address of the party submitting the request for review or notice of appeal;(2) The name and mailing address of the appealing party's representative, if any;(3) Documentation, or reference to documentation, of decisions previously rendered through the appeal process, if any;(4) A statement identifying the specific portion of the decision being appealed and clarifying what is believed to be unlawful or in error;(5) A statement of facts in support of the appealing party's position;(6) Any information or documentation that the appealing party would like considered and substantiates why the decision should be reversed. Information or documentation submitted at a later date, unless specifically requested by the PEBB appeals manager, may not be considered in the appeal decision;(7) The type of relief sought;(8) A statement that the appealing party has read the notice of appeal and believes the contents to be true and correct; and(9) The signature of the appealing party or the appealing party's representative.Wash. Admin. Code § 182-16-040
Amended by WSR 15-22-099, Filed 11/4/2015, effective 1/1/2016Amended by WSR 16-20-080, Filed 10/4/2016, effective 1/1/2017Statutory Authority: RCW 41.05.160. 08-20-128 (Order 08-03), §182-16-040, filed 10/1/08, effective 1/1/09; 07-20-129 (Order 07-01), §182-16-040, filed 10/3/07, effective 11/3/07. Statutory Authority: RCW 41.05.160, 41.05.350, and 41.05.165. 05-16-046 (Order 05-01), §182-16-040, filed 7/27/05, effective 8/27/05. Statutory Authority: RCW 41.05.160. 97-21-128, §182-16-040, filed 10/21/97, effective 11/21/97. Statutory Authority: RCW 41.05.010 and 34.05.250. 91-14-025, §182-16-040, filed 6/25/91, effective 7/26/91.