File #: 16-5438    Version: 1 Name: Shelly A. Coleman - 10/05/16
Type: Workers' Compensation Claims Status: Approved
File created: 9/20/2016 In control: Finance Committee
On agenda: 10/5/2016 Final action: 10/5/2016
Title: Employee: Shelly A. Coleman Job Title: Vital Records Clerk Department: County Clerk's Office Date of Incident: 07/21/2014 and 07/07/2015 Incident/Activity: The Petitioner slipped and fell while leaving her work area, injuring her left foot. The Petitioner slipped and fell while at work, fracturing her right fifth metatarsal. Accidental Injuries: Left foot and right fifth finger Petition and Order No: 15 WC 25602 & 15 WC 25603 Claim Amount: $10,000.00 Attorney: Howard H. Ankin of Ankin Law Office, LLC Date of Subcommittee Approval: N/A Prior/pending claims: None

title

Employee: Shelly A. Coleman

Job Title: Vital Records Clerk

Department: County Clerk's Office

Date of Incident: 07/21/2014 and 07/07/2015

Incident/Activity: The Petitioner slipped and fell while leaving her work area, injuring her left foot. The Petitioner slipped and fell while at work, fracturing her right fifth metatarsal.

Accidental Injuries: Left foot and right fifth finger 

Petition and Order No: 15 WC 25602 & 15 WC 25603

Claim Amount: $10,000.00

Attorney: Howard H. Ankin of Ankin Law Office, LLC

Date of Subcommittee Approval: N/A

Prior/pending claims: None 

end