Claim Number:42647461 Worker Name:MARK HOLAND Date Created:13-4-2026 1:05 PM

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Outcome: Emailed
Details: Hi, I'm writing to ask for your consent to use email to communicate with you. The

Freedom of Information and Protection of Privacy Act (FIPPA) does not allow
WorkSafeBC to send your personal information outside Canada without your
consent. This is to protect your personal information from being accessed by third
parties as may be permitted under the laws of other countries. Many email services
route their emails through countries outside Canada and store copies of emails

on servers, including cloud servers, outside Canada. WorkSafeBC takes required
steps to protect the security of your personal information by using encryption

when we email you. Emails may not be protected by encryption once they are
received by your email service. Personal information that may be in emails you
send to us and we send to you can include your name, personal contact details,
work details, medical details, payment details, identifiers such as claim numbers,
and other information. How to provide consent To give us permission to send
emails containing your personal information, please reply to this email with the
information in the orange fields filled in below: 1. Legal last name [__] 2. First name
[_] 3. WorkSafeBC claim number [__] 4. Email address [__] Reply yes or no to

the following: 5. | give consent for WorkSafeBC to email my personal information

to me. Type yes or no: [__] 6. | give consent for WorkSafeBC to use email for
necessary communication about me with my authorized representative. Type yes or
no: [__] 7. | give consent for WorkSafeBC to use email for necessary communication
about me with my employer(s) and their authorized representative. Type yes or no:
[_] 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: [__] Your consent will remain in effect until you tell

us in writing that you are withdrawing it. If you are not comfortable giving consent
for email communication, please call your WorkSafeBC representative to discuss
other options. If you need help If you run into any difficulties, please contact our
Technical Support team at 604.276.3135, toll-free at 1.888.855.2477 (Canada), or
by email at ehelp@worksafebc.com. Sincerely Jaylin Cassady (she/her/hers) Senior
Adjudicator Claims Intake and Adjudication Services WorkSafe BC 604 244 6306
worksafebc.com | acknowledge that | work on the traditional, ancestral, and unceded
or treaty territories of the Coast Salish Peoples, including the Saanich Nations and
the Lekwungen People of the Esquimalt and Songhees Nations. The provincial
government has made amendments to the Workers Compensation Act that affect
return to work. Starting January 1, 2024, employers and workers will be required to
co-operate with each other and with WorkSafeBC to ensure the worker can return to
their pre-injury job, a comparable job, or other suitable work. For more information,
worksafebc.com/bill41. You can also follow us on Facebook, Twitter, LinkedIn,
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safety resources, and news from WorkSafeBC. CONFIDENTIALITY DISCLAIMER