File #: 23-1634    Version: 1 Name: Annetta Gromow - 03-15-23
Type: Workers' Compensation Claims Status: Approved
File created: 2/22/2023 In control: Finance Committee
On agenda: 3/15/2023 Final action: 3/16/2023
Title: Employee: Annetta Gromow Job Title: Clerk V Department: Clerk of the Circuit Court Date of Incident: 06/06/2018 Incident/Activity: Petitioner injured her left foot when it was struck by a door. Accidental Injuries: Left foot Petition and Order No: 18 WC 36519 Claim Amount: $9,965.56 Attorney: Barber Law Offices LLC Date of Subcommittee Approval: n/a Prior/pending claims: n/a

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Employee: Annetta Gromow

Job Title: Clerk V

Department: Clerk of the Circuit Court

Date of Incident: 06/06/2018

Incident/Activity: Petitioner injured her left foot when it was struck by a door.

Accidental Injuries: Left foot 

Petition and Order No: 18 WC 36519

Claim Amount: $9,965.56

Attorney: Barber Law Offices LLC

Date of Subcommittee Approval: n/a

Prior/pending claims: n/a

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