File #: 23-1093    Version: 1 Name: Hector Ramirez - 03/15/23
Type: Workers' Compensation Claims Status: Approved
File created: 1/19/2023 In control: Finance Committee
On agenda: 3/15/2023 Final action: 3/16/2023
Title: Employee: Hector Ramirez Job Title: Clerk V Department: Adult Probation Dept Date of Incident: 10/15/2020 Incident/Activity: On October 15, 2020, Petitioner was injured while in a motor vehicle accident while performing his job duties. Accidental Injuries: Cervical strain, left elbow contusion, right elbow contusion Petition and Order No: 20 WC 028436 Claim Amount: $21,485.00 Attorney: Stephen Cummings, O'Connor & Nakos Date of Subcommittee Approval: N/A Prior/pending claims: N/A

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Employee: Hector Ramirez

Job Title: Clerk V

Department: Adult Probation Dept

Date of Incident:  10/15/2020

Incident/Activity: On October 15, 2020, Petitioner was injured while in a motor vehicle accident while performing his job duties. 

Accidental Injuries: Cervical strain, left elbow contusion, right elbow contusion 

Petition and Order No: 20 WC 028436

Claim Amount: $21,485.00

Attorney: Stephen Cummings, O’Connor & Nakos

Date of Subcommittee Approval: N/A

Prior/pending claims: N/A 

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