File #: 19-5373    Version: 1 Name: Robert Romero 16 WC 05170 09/25/19
Type: Workers' Compensation Claims Status: Approved
File created: 8/29/2019 In control: Finance Committee
On agenda: 9/25/2019 Final action: 9/26/2019
Title: Employee: Robert Romero Job Title: Deputy Sheriff Department: Sheriff's Court Services Department Date of Incident: 01/29/2016; 12/09/2016 Incident/Activity: On 01/29/2016, Petitioner fractured his left ring finger while attempting entry into a residence during a forceful eviction. On 12/09/2016, Petitioner was injured when a piece of ceiling plaster loosened and fell on his head while he was forcing a door during an eviction. Accidental Injuries: Left ring finger Petition and Order No: 16 WC 05170 Claim Amount: $3,058.64 Attorney: John C. Serkland of DePaolo & Zadeikis Date of Subcommittee Approval: N/A Prior/pending claims: 06/17/1995 ($1,834.92); 02/19/2019 ($10,334.87)

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Employee: Robert Romero

Job Title: Deputy Sheriff

Department: Sheriff’s Court Services Department

Date of Incident: 01/29/2016; 12/09/2016

Incident/Activity: On 01/29/2016, Petitioner - fractured his left ring finger while attempting entry into a residence during a forceful eviction. On 12/09/2016, Petitioner -was injured when a piece of ceiling plaster loosened and fell on his head while he was forcing a door during an eviction. 

Accidental Injuries: Left ring finger 

Petition and Order No: 16 WC 05170

Claim Amount: $3,058.64

Attorney: John C. Serkland of DePaolo & Zadeikis

Date of Subcommittee Approval: N/A

Prior/pending claims: 06/17/1995 ($1,834.92); 02/19/2019 ($10,334.87) 

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