File #: 21-4708    Version: 1 Name: Stephanie Lazalde - 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: Stephanie Lazalde Job Title: Deputy Sheriff Department: Court Services Division Date of Incident: 01/19/2016 Incident/Activity: Petitioner was injured when she slipped and fell on ice. Accidental Injuries: Back Petition and Order No: 16 WC 009847 Claim Amount: $20,768.55 Attorney: Keane Law Office Date of Subcommittee Approval: N/A Prior/pending claims: N/A

title

Employee: Stephanie Lazalde

Job Title: Deputy Sheriff

Department: Court Services Division

Date of Incident: 01/19/2016

Incident/Activity: Petitioner was injured when she slipped and fell on ice.

Accidental Injuries: Back

Petition and Order No: 16 WC 009847

Claim Amount: $20,768.55

Attorney: Keane Law Office

Date of Subcommittee Approval: N/A

Prior/pending claims: N/A

end