*2026-04-13 Disclosure Claim Data Report Claim Number:42647461 Worker Name:MARK HOLAND Date Created:13-4-2026 1:05 PM Summary - Decision Assist - MARK HOLAND- 42647461 Injury Eligibility-Details Injury: SUDDEN HEARING LOSS, Eligibilty status: Denied UNSPECIFIED Date processed: 2026/03/20 14:45 Injury (Non-Trauma) Question Response Provide rationale (if necessary) Is this an injury/ disease claimed as a consequence of an No already accepted disease? Was this disease adjudicated under Both section 138(4) and No 136(1)? Was this disease adjudicated under section 134(1)? No Was this disease adjudicated under section 136(1)? Yes x Was this disease adjudicated under section 137(2)? No Was this disease adjudicated under section 139? No Was this disease adjudicated under section 140? No Was this disease adjudicated under section 145? No Are you accepting this injury / disease? No x Page 14