File #: 20-2932    Version: 1 Name: Antonio Belk 07-29-2020
Type: Workers' Compensation Claims Status: Approved
File created: 6/19/2020 In control: Finance Committee
On agenda: 7/29/2020 Final action: 7/30/2020
Title: Employee: Antonio Belk Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 01/31/2017 Incident/Activity: Petitioner injured his right shoulder and right bicep when a door closed on his arm. Accidental Injuries: Right shoulder, right bicep Petition and Order No: 17 WC 013465 Claim Amount: $53,933.15 Attorney: Robert A. Langendorf, P.C. Date of Subcommittee Approval: 05/21/2020 Prior/pending claims: 04/16/1995; 06/24/1996; 03/20/1997 ($18,500.00 global settlement); 07/23/2004 ($4,908.46)

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Employee: Antonio Belk

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 01/31/2017

Incident/Activity: Petitioner injured his right shoulder and right bicep when a door closed on his arm. 

Accidental Injuries: Right shoulder, right bicep

Petition and Order No: 17 WC 013465

Claim Amount: $53,933.15

Attorney: Robert A. Langendorf, P.C.

Date of Subcommittee Approval: 05/21/2020

Prior/pending claims: 04/16/1995; 06/24/1996; 03/20/1997 ($18,500.00 global settlement); 07/23/2004 ($4,908.46) 

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