WAC 182-16-040
What should the request for review or
notice of appeal contain? A request for review or notice of
appeal is to contain:
(1) The name and mailing address of the appealing party;
(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;
(9) The signature of the appealing party or the appealing
party's representative.
[Statutory 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.]