diff --git a/engine/src/main/java/com/google/android/fhir/sync/upload/request/UploadRequestGenerator.kt b/engine/src/main/java/com/google/android/fhir/sync/upload/request/UploadRequestGenerator.kt
index 86af7a4b64..b6305c7639 100644
--- a/engine/src/main/java/com/google/android/fhir/sync/upload/request/UploadRequestGenerator.kt
+++ b/engine/src/main/java/com/google/android/fhir/sync/upload/request/UploadRequestGenerator.kt
@@ -62,6 +62,7 @@ internal object UploadRequestGeneratorFactory {
           mode.httpVerbToUseForCreate,
           mode.httpVerbToUseForUpdate,
           mode.bundleSize,
+          useETagForUpload = false,
         )
     }
 }