File #: 19-5561    Version: 1 Name: Joseph Spain - 09/25/19
Type: Workers' Compensation Claims Status: Approved
File created: 9/10/2019 In control: Finance Committee
On agenda: 9/25/2019 Final action: 9/26/2019
Title: Employee: Joseph Spain Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 03/01/2016 and 08/09/2016 Incident/Activity: Petitioner slipped on ice and fell in the employee parking lot injuring his right elbow and right leg. Petitioner stepped on a pallet and the wood broke causing him to fall backward into a brick wall and lockers injuring his hip, left shoulder, left elbow and back. Accidental Injuries: Right elbow, right leg, hip, left shoulder, elbow and back Petition and Order No: 16 WC 25283 Claim Amount: $47,479.78 Attorney: DePaolo & Zadeikis Date of Subcommittee Approval: 07/24//2019 Prior/pending claims: 08/04/2010 ($37,916.48)

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Employee: Joseph Spain

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 03/01/2016 and 08/09/2016

Incident/Activity: Petitioner slipped on ice and fell in the employee parking lot injuring his right elbow and right leg. Petitioner stepped on a pallet and the wood broke causing him to fall backward into a brick wall and lockers injuring his hip, left shoulder, left elbow and back.

Accidental Injuries: Right elbow, right leg, hip, left shoulder, elbow and back 

Petition and Order No: 16 WC 25283

Claim Amount: $47,479.78

Attorney: DePaolo & Zadeikis

Date of Subcommittee Approval: 07/24//2019

Prior/pending claims: 08/04/2010 ($37,916.48) 

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