- (1) Pursuant to RCW 51.28.070, workers may be allowed to review their claim file(s) upon written request to the department or self-insurer. The written request should contain the worker's name, claim number, signature, and the information requested. If the request is approved, the department or self-insurer shall provide a copy of the claim file to the worker.
(2) Reasons for denying release of a claim file, to a worker shall include, but not be limited to the following:
- (a) Presence of psychological, mental health, or physical treatment records, investigative reports or other records, release of which may not be in the interest of the worker.
- (b) Medical opinion or other documented information indicates the worker is a danger to himself or herself or others.
- (3) If, pursuant to the criteria established under subsection (2) of this section, the self-insured employer determines that release of the claim file, in whole or in part, may not be in the worker's interest, the employer must submit a request for denial with explanations along with a copy of that portion of the claim file not previously submitted to the self-insurance section within 20 days after receipt of the request from the worker.
- (4) If the request for the claim file is denied, in whole or in part, a written order of denial will be issued by the department and mailed to the worker. The worker may appeal the order to the board of industrial insurance appeals.
- (5) The provisions of this rule will apply to all claims regardless of the date of injury.
[Statutory Authority: RCW 51.28.070. WSR 90-18-002, § 296-14-970, filed 8/23/90, effective 9/23/90.]