File #: 16-3523    Version: 1 Name: 16-0434 Steven Bialczak
Type: Amendment to a Previously Approved Item Status: Approved
File created: 5/25/2016 In control: Board of Commissioners
On agenda: 6/8/2016 Final action: 6/8/2016
Title: PROPOSED PREVIOUSLY APPROVED ITEM AMENDMENT Department: Civil Actions Bureau (State's Attorney) Request: Amendment to a previously approved item Item Number: 16-0434 Fiscal Impact: $4,000.00 Account(s): N/A Original Text of Item: 16-0434 Employee: Steven Bialczak Job Title: Deputy Sheriff Department: Sheriff's Police Department Date of Incident: 05/06/2014 Incident/Activity: The accident occurred when the Petitioner was involved in motor vehicle accident, which injured his head, neck and low back. Accidental Injuries: Head, neck and lower back Petition and Order No: 14 WC 30041 Claim Amount: $14, 041.51 $18, 041.51 Attorney: Meghan N. O'Brien of Ridge & Downes Date of Subcommittee Approval: N/A Prior/pending claims: 06/12/2010 ($22,500.00)
Indexes: (Inactive) DONALD J. PECHOUS, Deputy State’s Attorney, Deputy Chief, Civil Actions Bureau

title

PROPOSED PREVIOUSLY APPROVED ITEM AMENDMENT

 

Department:  Civil Actions Bureau (State’s Attorney) 

 

Request:  Amendment to a previously approved item 

 

Item Number:  16-0434 

 

Fiscal Impact:  $4,000.00 

 

Account(s):   N/A 

 

Original Text of Item: 

16-0434

Employee: Steven Bialczak

Job Title: Deputy Sheriff

Department: Sheriff’s Police Department

Date of Incident: 05/06/2014

Incident/Activity: The accident occurred when the Petitioner was involved in motor vehicle accident, which injured his head, neck and low back.

Accidental Injuries: Head, neck and lower back 

Petition and Order No: 14 WC 30041

Claim Amount: $14, 041.51 $18, 041.51

Attorney: Meghan N. O’Brien of Ridge & Downes

Date of Subcommittee Approval: N/A

Prior/pending claims: 06/12/2010 ($22,500.00)

 

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