STATE OF WASHINGTON

DEPARTMENT OF LABOR AND INDUSTRIES

PO BOX 44251, OLYMPIA, WASHINGTON 9850474291

June 19, 2019

WARREN PETERSON CLAIM NUMBER 
PO Box 553 INJURY DATE 05/26/2019
EAST OLYMPIA WA 98540>>0853 DATE OF BIRTH
CLAIMANT PETERSON
WARREN 

Dear Employer:

I am in receipt of your employer report of accident [or injury that
occurred on 5/26/19, which I construed as a protest to ma 6/4/19
decision.

As you may be aware, on 6/4/19 1 rejected the claim because Mr.
Peterson was not in the course of employment on 5/26/19 when he was
driving his personal vehicle back from the Kennewick area.

I have determined the 6/4/19 decision is correct. I base my decismn
on the fact that Mr. Peterson was not in the coLrse of employment on
5/25/19 when he and his wife drove their personal vehicle to the
Kennemick area to pick up his and on his way back home, was
involved in a motor vehicle accident.

Separately you will receive an orde: affirming the 5/4/19 decision
with your appeal rights if you continue to disagree with my decision.

Thank you.

sincerely,

sarah Klovas

clams Manager, Unit 3
PHONE: (360) 90276372
FAX: (360) 902 4557

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ORIG: EMPLOYER -- THURSTON COUNTY FIRE DIST 6
CC: WORKER WARREN PETERSON
PROVIDER a JOFFE AARON DO

Page 1 of i WORKER COPY