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File #: 19-3311    Version: 1 Name: Michael Hickey - 06/05/19
Type: Workers' Compensation Claims Status: Approved
File created: 5/1/2019 In control: Finance Committee
On agenda: 6/5/2019 Final action: 6/6/2019
Title: Employee: Michael Hickey Job Title: Electrician Department: Provident Hospital Date of Incident: 03/22/2016; 12/19/2017 Incident/Activity: injured stepping off ladder; repetitive work injury Accidental Injuries: left foot; bilateral hands Petition and Order No: 18 WC 03679 Claim Amount: $36,966.43 Attorney: GWC Law, Ltd. Date of Subcommittee Approval: 04/23/20119 Prior/pending claims: n/a

title

Employee: Michael Hickey

Job Title: Electrician

Department: Provident Hospital

Date of Incident: 03/22/2016; 12/19/2017

Incident/Activity: injured stepping off ladder; repetitive work injury 

Accidental Injuries: left foot; bilateral hands

Petition and Order No: 18 WC 03679

Claim Amount: $36,966.43

Attorney: GWC Law, Ltd.

Date of Subcommittee Approval: 04/23/20119

Prior/pending claims: n/a 

end