*2026-04-13 Disclosure Claim Data Report

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

View Decision: Claim 42647461

Plan Item Name: Provisions: Current Provision
Date Entered: 2026/03/20 Decision Effective Date: 2026/01/25
Decision Type: Claim Eligibility Policy:
Decision Basis: New Matter Decision made by: JC21642
Decision Outcome: Claim is Disallowed Approved Date:
Status: Completed Replacing:
Decision Reason: Core: Yes
75 Day Limit: 2026/06/03 90 Day Limit: 2026/06/18

Decision Rationale

Supporting Documents

Document Type Document Date Description

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