File #: 17-0744    Version: 1 Name: Juan Hernandez - 01/18/17
Type: Workers' Compensation Claims Status: Approved
File created: 12/16/2016 In control: Finance Committee
On agenda: 1/18/2017 Final action: 1/18/2017
Title: Employee: Juan Hernandez Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 12/01/2015 Incident/Activity: The Petitioner injured his right hand, right knee and shoulder when he attempted to subdue an inmate. Accidental Injuries: Right hand, right knee and shoulder Petition and Order No: 16 WC 00029 Claim Amount: $10,364.73 Attorney: John Powers of Cullen, Haskins, Nicholson and Menchetti, P.C. Date of Subcommittee Approval: N/A Prior/pending claims: 08/11/2011 ($1,000.00)

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Employee: Juan Hernandez

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 12/01/2015

Incident/Activity: The Petitioner injured his right hand, right knee and shoulder when he attempted to subdue an inmate.

Accidental Injuries: Right hand, right knee and shoulder 

Petition and Order No: 16 WC 00029

Claim Amount: $10,364.73

Attorney: John Powers of Cullen, Haskins, Nicholson and Menchetti, P.C.

Date of Subcommittee Approval: N/A

Prior/pending claims: 08/11/2011 ($1,000.00) 

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