File #: 16-5469    Version: 1 Name:
Type: Self-Insurance Claims Status: Approved
File created: 9/21/2016 In control: Finance Committee
On agenda: 10/5/2016 Final action: 10/5/2016
Title: Department: County Clerk Claim Number: 97012889 Claim Payment: $219.21 Account Number: 490-826 Fixed Charges Department: 490 (Corporate) Claimant: Carol J. Kral Property Damage/Bodily Injury: 2007 Saturn ION County Driver: Cata Truss Unit/Plate Number: 194434 Prior Accidents: 1 Date of Accident: 02/29/2016 Location: 1900 Hassel Road, Hoffman Estates, Illinois Incident/Activity: Cook County Clerk employee was exiting a leased van while parked at 1900 Hassel Road in Hoffman Estates, when the wind gust forced the driver's side door into the passenger side mirror of the claimant's vehicle causing damages. Investigated by: CorVel

title

Department: County Clerk

Claim Number: 97012889

Claim Payment: $219.21 

Account Number: 490-826

Fixed Charges Department:  490 (Corporate)

Claimant: Carol J. Kral

Property Damage/Bodily Injury: 2007 Saturn ION

County Driver: Cata Truss

Unit/Plate Number: 194434

Prior Accidents: 1

Date of Accident: 02/29/2016

Location: 1900 Hassel Road, Hoffman Estates, Illinois

Incident/Activity: Cook County Clerk employee was exiting a leased van while parked at 1900 Hassel Road in Hoffman Estates, when the wind gust forced the driver’s side door into the passenger side mirror of the claimant's vehicle causing damages.

Investigated by:  CorVel

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