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HOLAND_CLAIM_FILE_p443
📄 HOLAND_CLAIM_FILE | p.443
📝 Extracted Text (OCR)
V Td SAFE BC PHONE MEMO
WORKING TO MAKE A DIFFERENCE
Worker name | MARK HOLAND WorkSafeBC | 42647461
claim number
Regarding SA > W IWI
Incoming Outgoing X | Date 2026-02-13 | Time 9:05 AM

Person called/calling

Injured Worker —
MARK HOLAND

Phone number

(please include area code)

(236) 994-3376

Information requested or

received

TC to W to complete IWI. Writer explained disclosure and claims process. W agreed
to continue. See MH IWI template for ODA and MH information.

Comments

Ms Jaylin Cassady

Sr Adjudicator

Claims Intake & Adjudication Services

25B27

Workers’ Compensation Board of B.C.

(R02/09) Page 1 of 1