2026-04-13 Disclosure Full Cover

Claims
WORK BC Mailing address: PO Box 4700 Stn Terminal, Vancouver BC V6B 1J1
Phone 604.231.8888 | 1.888.967.5377 | Fax 604.233.9777 | worksafebc.com

April 13, 2026
Client’s name MARK HOLAND
WorkSafeBC Claim number 42647461
Date of injury January 25, 2026

This package contains copies of documents for the claim file noted above. You have received these
documents because either:

e You or your authorized representative requested disclosure of the documents
e You, or another party to the claim, requested a review or an appeal of a decision on the
claim.

The documents in this package were printed up to the date of this letter, and they will include details
of payments made to health care providers, pharmacies, and hospitals, if requested. If the
disclosure request is not related to a proceeding, such as a review or appeal, the provisions of the
Freedom of Information and Protection of Privacy Act apply. The attached document, WorkSafeBC
Claim File Disclosure Guide, provides additional details of what you can expect to find in this
package.

Please note the contents of this disclosure are confidential personal records that are subject to the
confidentiality provision in section 235 of the Workers Compensation Act. If you are not the client
noted in the table above, it is illegal under section 235 of the Act for you to share information in this
package with anyone, except:

e To comply with the law of British Columbia or Canada

e If you have received a valid subpoena or court order requiring that you share
the information

e For the purpose of preparing an appeal under the Workers Compensation Act

e If you have the consent of the person the information concerns

If you received this package in error, or if it contains errors, you have a legal responsibility to report

this to WorkSafeBC. Please call us at 604.231.8888 or toll-free at 1.888.967.5377 to make
arrangements.

If you have questions about this claim, please call us at 604.231.8888 or toll-free at 1.888.967.5377.
Sincerely,
Disclosures Department

Enclosure(s): WorkSafeBC Claim File Disclosure Guide (CM006)

D0464-A-DI-R21/11