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FILING AN ASSESSMENT APPEAL

Introduction

The Department of Labor and Industries makes decisions about the amount of workers' compensation premiums employers must pay. (Department of Labor & Industries) 

If you disagree with a decision made by the Department, 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 30 days of the date you receive a Notice and Order of Assessment (NOA).

You must file an appeal within 60 days of the date you receive a Revocation of Coverage, Classification Change, or Rate Notice.

Your appeal should include:

  • The name and address of the firm being assessed.
  • The firm number assigned by the Department.
  • The Notice and Order of Assessment number (if applicable).
  • The date of the decision.
  • The reasons why you disagree with the decision.

You can file the appeal by mail:

Board of Industrial Insurance Appeals
Attention: Executive Secretary
PO Box 42401
  Olympia WA 98504-2401

Or file in person:

Board of Industrial Insurance Appeals
Attention: Executive Secretary
 2430 Chandler Court SW
Olympia WA 98504-2401

Notice of Appeal Form

For more information about the appeal process, click here.

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