File #: 22-4142    Version: 1 Name: Robert Bansley - 07/27/22
Type: Workers' Compensation Claims Status: Approved
File created: 6/28/2022 In control: Finance Committee
On agenda: 7/27/2022 Final action: 7/28/2022
Title: Employee: Robert Bansley Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 02/04/2013 Incident/Activity: Petitioner injured his neck sand right shoulder when he slipped and fell to the ground. Accidental Injuries: Neck, right shoulder Petition and Order No: 13 WC 13331 Claim Amount: $142,500.00 Attorney: Karchmar & Stone Date of Subcommittee Approval: 06/14/2022 Prior/pending claims: n/a

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Employee: Robert Bansley

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 02/04/2013

Incident/Activity: Petitioner injured his neck sand right shoulder when he slipped and fell to the ground.

Accidental Injuries: Neck, right shoulder

Petition and Order No: 13 WC 13331

Claim Amount: $142,500.00

Attorney: Karchmar & Stone

Date of Subcommittee Approval: 06/14/2022

Prior/pending claims: n/a

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