Processing document — OCR in progress…
May take a minute for large PDFs.
Records: 1114 EMPLOYER 62 WORKSAFE 102 MEDICAL 21 LEGAL 16 INTERNAL 656 FOI 42 PERSONAL 215 📁 MARK'S DOC 1113 📁 GEORGINA'S DOC 1 ⭐ 102 | 2026-07-04 12:56
← Back 📁 MARK'S DOC
Review_Division_Submission_1_of_3 — p.3
📄 Review Division Submission 1 of 3 | p.3
📝 Extracted Text (OCR)
*2026-04-13 Disclosure Claim Data Report

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

View De Claim 426474:

Plan Item Name: WCB Chiro First Provisions: Current Provision
Report(eform 8c)no Charge
Date Entered: 2026/03/20 Decision Effective Date: 2026/03/20
Decision Type: Entitlement Modification Policy:
Decision Basis: New Matter Decision made by: SYSTEM
Decision Outcome: Accepted Approved Date: 2026/03/20
Status: Completed Replacing:
Decision Reason: Claim Not Eligible Core: Yes
75 Day Limit: 2026/06/03 90 Day Limit: 2026/06/18

Decision Rationale

Supporting Documents

Document Type Document Date Description

Page 25