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File #: 19-3703    Version: 1 Name: Albert Stubenvoll - 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: Albert F. Stubenvoll Job Title: Correctional Officer Department: Corrections Date of Incident: 06/10/2016; 12/17/2017 and 06/11/2018 Incident/Activity: On June 10, 2016, Petitioner injured his left wrist when he fell while participating in an employment scenario-based training. On December 17, 2017, Petitioner injured his left eye and face when an inmate spit on him. On June 11, 2018, Petitioner injured his head, left thumb, and bilateral arms when he was struck by an inmate. Accidental Injuries: Left wrist, left eye, face, head, left thumb and bilateral arms Petition and Order No: 16 WC 29757 Claim Amount: $34,917.22 Attorney: Law Office of John J. Placek Date of Subcommittee Approval: 03/19/2019 Prior/pending claims: 10/18/2004 ($24,555.00)

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Employee: Albert F. Stubenvoll

Job Title: Correctional Officer

Department: Corrections

Date of Incident: 06/10/2016; 12/17/2017 and 06/11/2018

Incident/Activity: On June 10, 2016, Petitioner injured his left wrist when he fell while participating in an employment scenario-based training. On December 17, 2017, Petitioner injured his left eye and face when an inmate spit on him. On June 11, 2018, Petitioner injured his head, left thumb, and bilateral arms when he was struck by an inmate.

Accidental Injuries: Left wrist, left eye, face, head, left thumb and bilateral arms 

Petition and Order No: 16 WC 29757

Claim Amount: $34,917.22

Attorney: Law Office of John J. Placek

Date of Subcommittee Approval: 03/19/2019

Prior/pending claims: 10/18/2004 ($24,555.00)

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