Board of Commissioners of Cook County - File #: 22-0924

• File #: 22-0924
• Version: 1
• Name: Michael Cap, Jr.- 01-12-2022
• Type: Workers' Compensation Claims
• Status: Approved
• File created: 12/28/2021
• In control: Finance Committee
• On agenda: 1/12/2022
• Final action: 1/13/2022
• Title: Employee: Michael Cap, Jr. Job Title: Telecommunicator Department: Sheriff's Department Date of Incident: 02/28/2021 Incident/Activity: Petitioner injured his lower back while cleaning his office. Accidental Injuries: Lower back Petition and Order No: 21 WC 6209 Claim Amount: $3,775.45 Attorney: Whiteside & Goldberg, Ltd. Date of Subcommittee Approval: n/a Prior/pending claims: n/a

Date	Ver.	Action By	Motion	Result
1/13/2022	1	Board of Commissioners	approve	Pass
1/12/2022	1	Finance Committee	recommend for approval	Pass

title

Employee: Michael Cap, Jr.

Job Title: Telecommunicator

Department: Sheriff’s Department

Date of Incident: 02/28/2021

Incident/Activity: Petitioner injured his lower back while cleaning his office.

Accidental Injuries: Lower back

Petition and Order No: 21 WC 6209

Claim Amount: $3,775.45

Attorney: Whiteside & Goldberg, Ltd.

Date of Subcommittee Approval: n/a

Prior/pending claims: n/a 

end