File #: 16-5471    Version: 1 Name:
Type: Self-Insurance Claims Status: Approved
File created: 9/21/2016 In control: Finance Committee
On agenda: 10/5/2016 Final action: 10/5/2016
Title: Department: 201600490 Claim Number: 201600490 Claim Payment: $3,500.00 Account Number: 499-826 Fixed Charges Department: 499 (Public Safety) Claimant: Manish Patel Property Damage/Bodily Injury: 2000 Dodge Intrepid/Neck and Back Soreness County Driver: John Pradun Unit/Plate Number: 4633 Prior Accidents: 0 Date of Accident: 07/07/2016 Location: Meacham Road south of Mallard Crossing, Elk Grove Village, IL Incident/Activity: Cook County Sheriff's vehicle was traveling northbound on Meacham Road, just south of the intersection with Mallard Crossing in Elk Grove Village and rear-ended the claimant's vehicle causing rear-end damages. The claimant also sustained bodily injuries to his neck and back. Investigated by: CorVel

title

Department: 201600490

Claim Number: 201600490

Claim Payment: $3,500.00

Account Number: 499-826

Fixed Charges Department:  499 (Public Safety)

Claimant: Manish Patel

Property Damage/Bodily Injury: 2000 Dodge Intrepid/Neck and Back Soreness

County Driver: John Pradun

Unit/Plate Number: 4633

Prior Accidents: 0

Date of Accident: 07/07/2016

Location: Meacham Road south of Mallard Crossing, Elk Grove Village, IL

Incident/Activity: Cook County Sheriff's vehicle was traveling northbound on Meacham Road, just south of the intersection with Mallard Crossing in Elk Grove Village and rear-ended the claimant's vehicle causing rear-end damages. The claimant also sustained bodily injuries to his neck and back.

Investigated by:  CorVel

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