Board of Commissioners of Cook County - File #: 16-4210

• File #: 16-4210
• Version: 1
• Type: Self-Insurance Claims General Liability
• Status: Approved
• File created: 6/29/2016
• In control: Finance Committee
• On agenda: 7/13/2016
• Final action: 7/13/2016
• Title: Department: John H. Stroger, Jr. Hospital of Cook County Claim Number: 97012743 Claim Payment: $229.00 Account Number: 899-826 Fixed Charges Department: 899 Claimant: Dariia Iupyn Property Damage/Bodily Injury: Dentures Date of Accident: 12/18/2015 Location: John H. Stroger, Jr. Hospital, Chicago, IL Incident/Activity: While waiting to undergo a test at John H. Stroger, Jr. Hospital in Chicago, a nurse dropped the claimant's dentures causing damages to them. Investigated by: CorVel

Date	Ver.	Action By	Motion	Result
7/13/2016	1	Board of Commissioners	approve
7/13/2016	1	Finance Committee	recommend for approval	Pass

title

Department: John H. Stroger, Jr. Hospital of Cook County

Claim Number: 97012743

Claim Payment: $229.00

Account Number: 899-826

Fixed Charges Department:  899

Claimant: Dariia Iupyn

Property Damage/Bodily Injury: Dentures

Date of Accident: 12/18/2015

Location: John H. Stroger, Jr. Hospital, Chicago, IL

Incident/Activity: While waiting to undergo a test at John H. Stroger, Jr. Hospital in Chicago, a nurse dropped the claimant's dentures causing damages to them.

Investigated by:  CorVel

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