*2026-04-13 Disclosure Claim Data Report

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

Permanent Disability Benefits for MARK HOLAND : Claim # 42647461

Worker Details-Across Claims

Worker Name: [MARK HOLAND] # of Claims with PFI:0
Date of Birth: 1978/09/04 Total Worker % Disability:
Date of Dealth:
Claim Details
Overall Claim Date: 2026/01/25 Total Claim % Disability:

Calculation Details

Ref #: Calc Type: Status: Effective Date: | Calculation %Disability: | Amount($): Commuted($):
Date:

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