Board of Commissioners of Cook County - File #: 19-3699

• File #: 19-3699
• Version: 1
• Name: Dessire Dominguez - 06/05/19
• Type: Workers' Compensation Claims
• Status: Approved
• File created: 5/20/2019
• In control: Finance Committee
• On agenda: 6/5/2019
• Final action: 6/6/2019
• Title: Employee: Dessire Dominguez Job Title: Clerk Department: Clerk of the Circuit Court Date of Incident: 07/08/2015 and 12/06/2016 Incident/Activity: On July 8, 2015, Petitioner injured her back and neck when she was struck by another vehicle. On December 6, 2016, Petitioner injured her right pinky finger while performing an N-95 fitting test. Accidental Injuries: Back, neck and right pinky finger Petition and Order No: 16 WC 38791 Claim Amount: $13,571.15 Attorney: Vrdolyak Law Group Date of Subcommittee Approval: N/A Prior/pending claims: N/A

Date	Ver.	Action By	Motion	Result
6/6/2019	1	Board of Commissioners	approve	Pass
6/5/2019	1	Finance Committee	recommend for approval	Pass

title

Employee: Dessire Dominguez

Job Title: Clerk

Department: Clerk of the Circuit Court

Date of Incident: 07/08/2015 and 12/06/2016

Incident/Activity: On July 8, 2015, Petitioner injured her back and neck when she was struck by another vehicle.  On December 6, 2016, Petitioner injured her right pinky finger while performing an N-95 fitting test.

Accidental Injuries: Back, neck and right pinky finger 

Petition and Order No: 16 WC 38791

Claim Amount: $13,571.15

Attorney: Vrdolyak Law Group

Date of Subcommittee Approval: N/A

Prior/pending claims: N/A 

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