Board of Commissioners of Cook County - File #: 22-5092

• File #: 22-5092
• Version: 1
• Name: Samuel Sandoval - 09/21/22
• Type: Workers' Compensation Claims
• Status: Approved
• File created: 8/25/2022
• In control: Finance Committee
• On agenda: 9/21/2022
• Final action: 9/22/2022
• Title: Employee: Samuel Sandoval Job Title: Trainee Correctional Officer Department: Department of Corrections Date of Incident: 10/13/2020 Incident/Activity: Petitioner injured his back during physical training. Accidental Injuries: Back Petition and Order No: 22 WC 03046 Claim Amount: $4,392.00 Attorney: Whiteside & Goldberg, Ltd. Date of Subcommittee Approval: n/a Prior/pending claims: n/a

Date	Ver.	Action By	Motion	Result
9/22/2022	1	Board of Commissioners	approve	Pass
9/21/2022	1	Finance Committee	recommend for approval	Pass

title

Employee: Samuel Sandoval

Job Title: Trainee Correctional Officer

Department: Department of Corrections

Date of Incident: 10/13/2020

Incident/Activity: Petitioner injured his back during physical training. 

Accidental Injuries: Back

Petition and Order No: 22 WC 03046

Claim Amount: $4,392.00

Attorney: Whiteside & Goldberg, Ltd.

Date of Subcommittee Approval: n/a

Prior/pending claims: n/a

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