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Get WA DoL HRNG-525-001 2012

308. A non-refundable fee of $375 must be included with your request, unless you are determined to be indigent (see Indigent Requests below). Your request must be made within 20 days after receipt of this notice. If your request is not made within 20 days after receipt of this notice, you will have waived your right to a hearing. Send this completed form with a check or money order payable to Department of Licensing to: Hearings & Interviews Department of Licensing PO Box 9048 Olympia, WA 98507-.

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