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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

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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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