File #: 21-4472    Version: 1 Name: Melissa Mazias - 09/22/21
Type: Workers' Compensation Claims Status: Approved
File created: 7/30/2021 In control: Finance Committee
On agenda: 9/22/2021 Final action: 9/23/2021
Title: Employee: Melissa Mazias Job Title: Correctional Officer Department: Corrections Date of Incident: 07/05/2018; 06/19/2019 Incident/Activity: On July 5, 2018, the Petitioner was exposed to an unknown substance in the facial area. On June 19, 2019, the Petitioner was struck in the head by her colleague. Accidental Injuries: Face; Head Petition and Order No: 19 WC 19534 Claim Amount: $10,060.25 Attorney: Vitell & Spitz, Ltd. Date of Subcommittee Approval: N/A Prior/pending claims: 12/07/2012 ($10,000.00)

title

Employee: Melissa Mazias

Job Title: Correctional Officer

Department: Corrections

Date of Incident: 07/05/2018; 06/19/2019

Incident/Activity: On July 5, 2018, the Petitioner was exposed to an unknown substance in the facial area. On June 19, 2019, the Petitioner was struck in the head by her colleague.

Accidental Injuries: Face; Head

Petition and Order No: 19 WC 19534

Claim Amount: $10,060.25

Attorney: Vitell & Spitz, Ltd.

Date of Subcommittee Approval: N/A

Prior/pending claims: 12/07/2012 ($10,000.00)

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