File #: 17-2505    Version: 1 Name: Andre Robinson - 04/12/17
Type: Workers' Compensation Claims Status: Approved
File created: 3/27/2017 In control: Finance Committee
On agenda: 4/12/2017 Final action: 4/12/2017
Title: Employee: Andre Robinson Job Title: Administrative Assistant Department: Recorder of Deeds Date of Incident: 01/05/2013, 07/07/2015 and 01/02/15 (claim not filed) Incident/Activity: Petitioner injured his right shoulder due to repetitive trauma while performing his job duties at a work station with ergonomic issues. The Petitioner injured his left shoulder lifting a 200 pound box of paper. Accidental Injuries: Right shoulder and left shoulder Petition and Order No: 15 WC 25821 & 16 WC 04478 Claim Amount: $68,124.00 Attorney: Samuel J. Ruffolo of Baum, Ruffolo & Marzal, Ltd. Date of Subcommittee Approval: 03/08/2017 Prior/pending claims: None

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Employee: Andre Robinson

Job Title: Administrative Assistant

Department: Recorder of Deeds

Date of Incident: 01/05/2013, 07/07/2015 and 01/02/15 (claim not filed)

Incident/Activity: Petitioner injured his right shoulder due to repetitive trauma while performing his job duties at a work station with ergonomic issues. The Petitioner injured his left shoulder lifting a 200 pound box of paper.

Accidental Injuries: Right shoulder and left shoulder 

Petition and Order No: 15 WC 25821 & 16 WC 04478

Claim Amount: $68,124.00

Attorney: Samuel J. Ruffolo of Baum, Ruffolo & Marzal, Ltd.

Date of Subcommittee Approval: 03/08/2017

Prior/pending claims: None 

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