File #: 21-4673    Version: 1 Name: Richard Gonzalez - 09/22/21
Type: Workers' Compensation Claims Status: Approved
File created: 8/17/2021 In control: Finance Committee
On agenda: 9/22/2021 Final action: 9/23/2021
Title: Employee: Richard Gonzalez Job Title: Correctional Officer Department: Corrections Date of Incident: 06/24/2015 Incident/Activity: Petitioner was struck in the head multiple times by a detainee. Accidental Injuries: Head, Back, Right Hand, Left Knee, Right Knee Petition and Order No: 15 WC 19005 Claim Amount: $44,096.88 Attorney: DePaolo & Zadeikis Date of Subcommittee Approval: 07/22/2021 Prior/pending claims: 09/04/2013 ($21,756.02)

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Employee: Richard Gonzalez

Job Title: Correctional Officer

Department: Corrections

Date of Incident: 06/24/2015

Incident/Activity: Petitioner was struck in the head multiple times by a detainee.

Accidental Injuries: Head, Back, Right Hand, Left Knee, Right Knee

Petition and Order No: 15 WC 19005

Claim Amount: $44,096.88

Attorney: DePaolo & Zadeikis

Date of Subcommittee Approval: 07/22/2021

Prior/pending claims: 09/04/2013 ($21,756.02)

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