Subject Number 046-1024 Updates to Board Review Forms (Form RB-89 Series)

Board Bulletins and Subject Numbers

May 3, 2018

The Board Review forms (Form RB-89 series) have been updated to accommodate appeals that arise from Paid Family Leave discrimination cases. The updated forms have a version date of 1-18. The Board will continue to accept the 9-16 versions of the forms until June 1, 2018. After that date, no prior versions will be accepted.

The update applies to the following forms:

• Application for Board Review (Form RB-89)
• Rebuttal of Application for Board Review (Form RB-89.1)
• Cover Sheet—Application for Reconsideration/Full Board Review (Form RB-89.2)
• Cover Sheet—Rebuttal of Application for Reconsideration/Full Board Review (Form RB-89.3)

Note: This update supersedes the update to Forms RB-89 and RB-89.1 previously announced in Subject Number 046-878 Board Adopts New Administrative Review, Full Board Review, and Applications for Board Reconsideration Regulations dated September 29, 2016, which required the adoption of updated Forms RB-89 and RB-89.1 (version date 9-16) by December 1, 2016.