File #: 22-3102    Version: 1 Name: Shana Ford - 05/11/22
Type: Workers' Compensation Claims Status: Approved
File created: 4/26/2022 In control: Finance Committee
On agenda: 5/11/2022 Final action: 5/12/2022
Title: Employee: Shana Ford Job Title: Youth Development Specialist Department: Juvenile Temporary Detention Center Date of Incident: 08/09/2020; 09/20/2020 Incident/Activity: On August 9, 2020, Petitioner injured her left shoulder and lower back restraining residents. On September 20, 2020, Petitioner injured her lower back, left shoulder, and right leg restraining residents. Accidental Injuries: Left shoulder; Lower back; Right leg Petition and Order No: 21 WC 01222 Claim Amount: $33,925.25 Attorney: Whiteside & Goldberg, Ltd. Date of Subcommittee Approval: 03/15/2022 Prior/pending claims: N/A

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Employee: Shana Ford

Job Title: Youth Development Specialist

Department: Juvenile Temporary Detention Center

Date of Incident: 08/09/2020; 09/20/2020

Incident/Activity: On August 9, 2020, Petitioner injured her left shoulder and lower back restraining residents. On September 20, 2020, Petitioner injured her lower back, left shoulder, and right leg restraining residents.

Accidental Injuries: Left shoulder; Lower back; Right leg

Petition and Order No: 21 WC 01222

Claim Amount: $33,925.25

Attorney: Whiteside & Goldberg, Ltd.

Date of Subcommittee Approval: 03/15/2022

Prior/pending claims: N/A 

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