2/13/26, 11:20 AM Mail - Cassady, Jaylin - Outlook

a Outlook

Re: WorkSafe

From mark holand <marktholand@gmail.com>
Date Wed 2/11/2026 10:46 PM
To Cassady, Jaylin <Jaylin.Cassady@worksafebc.com>

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Hi Jaylin,

Here is my consent form for email communication.

1. Legal last name [Holand]

2. First name [Mark]

3. WorkSafeBC claim number [42647461]

4. Email address [marktholand@gmail.com]

Reply yes or no to the following:

5. | give consent for WorkSafeBC to email my personal information to me.

Type yes or no: [YES]

6. | give consent for WorkSafeBC to use email for necessary communication about me with

my authorized representative.

Type yes or no: [YES]

7.1 give consent for WorkSafeBC to use email for necessary communication about me with my
employer(s) and their authorized representative.

Type yes or no: [YES]

8. | give consent for WorkSafeBC to use email for necessary communication about me with my service
provider(s) (e.g., physician, physiotherapist, training programs).

Type yes or no: [YES]

Mark Holand
marktholand@gmail.com

On Wed, Feb 11, 2026 at 3:14PM Cassady, Jaylin <Jaylin.Cassady@worksafebc.com> wrote:

Hi,

https://outlook.office.com/mail/inbox/id/AAQkAGlyMGNkMmRiLWY5YjgtNDAZMSOSMTBmLTEwZGE4NjjZjY wNgAQAPDLb%2FMycCVHvpLFAF%2Fh...