File #: 21-6361    Version: 1 Name: Antonio Smith - 12-15-2021
Type: Workers' Compensation Claims Status: Approved
File created: 11/12/2021 In control: Finance Committee
On agenda: 12/15/2021 Final action: 12/16/2021
Title: Employee: Antonio Smith Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 11/28/2020 Incident/Activity: Petitioner injured his right arm and right hand while engaged in securing a detainee. Accidental Injuries: Right arm, right hand Petition and Order No: 21 WC 03627 Claim Amount: $12,796.24 Attorney: Whiteside & Goldberg, Ltd. Date of Subcommittee Approval: n/a Prior/pending claims: n/a

title

Employee: Antonio Smith

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 11/28/2020

Incident/Activity: Petitioner injured his right arm and right hand while engaged in securing a detainee. 

Accidental Injuries: Right arm, right hand 

Petition and Order No: 21 WC 03627

Claim Amount: $12,796.24

Attorney: Whiteside & Goldberg, Ltd.

Date of Subcommittee Approval: n/a

Prior/pending claims: n/a

end