File #: 20-5045    Version: 1 Name: Daniel Olguin - 11-18-2020
Type: Workers' Compensation Claims Status: Approved
File created: 10/26/2020 In control: Finance Committee
On agenda: 11/18/2020 Final action: 11/19/2020
Title: Employee: Daniel Olguin Job Title: IT Technician Department: County Chief Information Officer Date of Incident: 04/29/2014 Incident/Activity: Petitioner injured his left arm and shoulder when he tripped and fell at work. Accidental Injuries: Left arm, left shoulder Petition and Order No: 14 WC 25815 Claim Amount: $24,900.00 Attorney: Karchmar & Stone Date of Subcommittee Approval: n/a Prior/pending claims: n/a

title

Employee: Daniel Olguin

Job Title: IT Technician

Department: County Chief Information Officer

Date of Incident: 04/29/2014

Incident/Activity: Petitioner injured his left arm and shoulder when he tripped and fell at work.

Accidental Injuries: Left arm, left shoulder

Petition and Order No: 14 WC 25815

Claim Amount: $24,900.00

Attorney: Karchmar & Stone

Date of Subcommittee Approval: n/a

Prior/pending claims: n/a

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