File #: 16-5441    Version: 1 Name: Charlott Hunt-Davis - 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: Charlotte Hunt-Davis Job Title: Court Liaison Department: Adult Probation Date of Incident: 02/09/2015 Incident/Activity: The Petitioner slipped on black ice in the employee parking lot, sustaining a torn meniscus of her left knee that required surgery. Accidental Injuries: Left knee Petition and Order No: 16 WC 27222 Claim Amount: $24,500.00 Attorney: Pro Se: Charlotte Hunt-Davis, 9663 S. Yates, Chicago, IL 60617 Date of Subcommittee Approval: N/A Prior/pending claims: 02/29/1996 ($5,500.00); 11/28/2011 ($0.00)

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Employee: Charlotte Hunt-Davis

Job Title: Court Liaison

Department: Adult Probation

Date of Incident: 02/09/2015

Incident/Activity: The Petitioner slipped on black ice in the employee parking lot, sustaining a torn meniscus of her left knee that required surgery.

Accidental Injuries: Left knee 

Petition and Order No: 16 WC  27222

Claim Amount: $24,500.00

Attorney: Pro Se: Charlotte Hunt-Davis, 9663 S. Yates, Chicago, IL  60617

Date of Subcommittee Approval: N/A

Prior/pending claims:  02/29/1996 ($5,500.00); 11/28/2011 ($0.00)

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