File #: 21-5858    Version: 1 Name: Risk Management Workers Compensation Settlement (Claim No. 202009580)
Type: Workers' Compensation Claims (Risk Management) Status: Approved
File created: 10/13/2021 In control: Finance Committee
On agenda: 11/3/2021 Final action:
Title: Employee: Krkobabic, Petar Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 10/14/2020 Incident/Activity: Employee was attempting to subdue combative Inmate. (Head, Neck) Accidental Injuries: Multiple Body Parts (Including Body Systems and Body Parts) Petition and Order No: 20 WC 028778 Claim Amount: $11,103.02 Attorney: Magdalena F. Gonzalez, Gardi & Haught LTD Date of Subcommittee Approval: N/A Prior/pending claims: The Department of Risk Management is submitting for your information the attached claims summary with all prior and pending claims.
Indexes: DEANNA ZALAS, Director, Department of Risk Management

title

Employee: Krkobabic, Petar

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 10/14/2020

Incident/Activity: Employee was attempting to subdue combative Inmate. (Head, Neck)

Accidental Injuries: Multiple Body Parts (Including Body Systems and Body Parts)

Petition and Order No: 20 WC 028778

Claim Amount: $11,103.02

Attorney: Magdalena F. Gonzalez, Gardi & Haught LTD

Date of Subcommittee Approval: N/A

Prior/pending claims: The Department of Risk Management is submitting for your information the attached claims summary with all prior and pending claims. 

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