File #: 23-0777    Version: 1 Name: Keith Tate, Jr. - 01/25/23
Type: Workers' Compensation Claims Status: Approved
File created: 12/29/2022 In control: Finance Committee
On agenda: 1/25/2023 Final action: 1/26/2023
Title: Employee: Keith Tate, Jr. Job Title: Correctional Officer Department: Corrections Date of Incident: 06/09/2022 Incident/Activity: Petitioner injured his neck and back attempting to restrain a detainee. Accidental Injuries: Neck; Back Petition and Order No: 22 WC 015147 Claim Amount: $15,724.80 Attorney: Gordon & Centracchio, LLC Date of Subcommittee Approval: N/A Prior/pending claims: N/A

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Employee: Keith Tate, Jr.

Job Title: Correctional Officer

Department: Corrections

Date of Incident: 06/09/2022

Incident/Activity: Petitioner injured his neck and back attempting to restrain a detainee.

Accidental Injuries: Neck; Back

Petition and Order No: 22 WC 015147

Claim Amount: $15,724.80

Attorney: Gordon & Centracchio, LLC

Date of Subcommittee Approval: N/A

Prior/pending claims: N/A

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