File #: 21-4724    Version: 1 Name: Wilhemina Derengowski - 09/22/21
Type: Workers' Compensation Claims Status: Approved
File created: 8/18/2021 In control: Finance Committee
On agenda: 9/22/2021 Final action: 9/23/2021
Title: Employee: Wilhemina Derengowski Job Title: Correctional Officer Department: Corrections Date of Incident: 12/18/2017; 06/03/2018; 06/24/2019; 10/14/2019 Incident/Activity: On December 18, 2017, Petitioner injured her neck and left hand when she was attacked by an inmate. On June 3, 2018, Petitioner injured her right shoulder when struck by malfunctioning elevator doors. On June 24, 2019, Petitioner injured her left hand and wrist in an altercation with an inmate. On October 14, 2019, Petitioner injured her left shoulder and arm when attacked by an inmate. Accidental Injuries: Neck, Left Hand; Right Shoulder; Left Wrist; Left Shoulder Petition and Order No: 17 WC 37714; 18 WC 22668; 19 WC 18853; 19 WC 30620 Claim Amount: $38,390.40 Attorney: Friedman & Solmor, Ltd. Date of Subcommittee Approval: 06/22/2021 Prior/pending claims: N/A

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Employee: Wilhemina Derengowski

Job Title: Correctional Officer

Department: Corrections

Date of Incident: 12/18/2017; 06/03/2018; 06/24/2019; 10/14/2019

Incident/Activity: On December 18, 2017, Petitioner injured her neck and left hand when she was attacked by an inmate. On June 3, 2018, Petitioner injured her right shoulder when struck by malfunctioning elevator doors. On June 24, 2019, Petitioner injured her left hand and wrist in an altercation with an inmate. On October 14, 2019, Petitioner injured her left shoulder and arm when attacked by an inmate.

Accidental Injuries: Neck, Left Hand; Right Shoulder; Left Wrist; Left Shoulder

Petition and Order No: 17 WC 37714; 18 WC 22668; 19 WC 18853; 19 WC 30620

Claim Amount: $38,390.40

Attorney: Friedman & Solmor, Ltd.

Date of Subcommittee Approval: 06/22/2021

Prior/pending claims: N/A

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