BIIA Workers' Compensation Appeals
Introduction
A claim for workers' compensation starts with an application for benefits filed with the Department of Labor and Industries or a self-insured employer. [Department of Labor & Industries]
If you disagree with a decision made by the Department or self-insured employer, you should do one of the following:
- File a protest (request for reconsideration) with the Department, OR
- File an appeal with the BIIA.
Do not file a protest with the Department if you are filing an appeal with the BIIA.
Appeals
You must file an appeal within 60 days of the date you receive the Department's decision.
Your appeal should include:
- The name and address of the claimant (and his/her representative) and the name and address of the employer.
- The claim number assigned by the Department of Labor and Industries.
- A description of the injury/disease, including the date it occurred.
- The date of the Department decision being appealed.
- The city in which you would like proceedings to be held.
- What you are asking for.
Industrial Insurance Notice of Appeal Form (PDF)
File Workers' Compensation Appeals Online
You can file the appeal by mail:
Or file in person:
For further information you may request the booklet Your Right to Be Heard.
Read more information about the Appeal Process.
Return to FILING AN APPEAL