File #: 20-4960    Version: 1 Name: Evgeniy Romanov - 11-18-2020
Type: Workers' Compensation Claims Status: Approved
File created: 10/23/2020 In control: Finance Committee
On agenda: 11/18/2020 Final action: 11/19/2020
Title: Employee: Evgeniey Romanov Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 07/08/2020 Incident/Activity: Petitioner injured his head and left leg when he fell down a staircase while responding to call of an inmate fight. Accidental Injuries: Head, left leg Petition and Order No: 20 WC 16403 Claim Amount: $13,599.09 Attorney: Ankin Law Group LLC Date of Subcommittee Approval: n/a Prior/pending claims: 09/10/2018 ($20,000)

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Employee: Evgeniey Romanov

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 07/08/2020

Incident/Activity: Petitioner injured his head and left leg when he fell down a staircase while responding to call of an inmate fight.

Accidental Injuries: Head, left leg

Petition and Order No: 20 WC 16403

Claim Amount: $13,599.09

Attorney: Ankin Law Group LLC

Date of Subcommittee Approval: n/a

Prior/pending claims: 09/10/2018 ($20,000)

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