This Arbitrator Decision Reporting Form is required by our for arbitration proceedings under RCW 48.49.135. This mandatory form for arbitrators to use is referred to as “Appendix C” in WAC 284-43B-037(6)(b) and WAC 284-43B-095. The form assists the OIC with its annual reporting requirements in RCW 48.49.050. Submission of this form satisfies the reporting requirements under RCW 48.49.040(8)(a).

Indicates required field

Arbitrator's information

Dispute resolution information