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If you do not agree with a decision made by L&I on a claim, you have the right to file a protest with L&I by letter or online.
If you do not agree with L&I's decision regarding your protest or other claim related decisions, you may appeal to the Board of Industrial Insurance Appeals (BIIA) by letter or online.
You may appeal directly to the BIIA without first protesting to L&I. However, after receiving your appeal, the BIIA will notify L&I so L&I has an opportunity to reconsider it's original decision.
For more details
RCW 51.52.060 - Notice of appeal - Time - Cross-appeal - Departmental options