File #: 21-5037    Version: 1 Name: Annette McCollough - 10/06/21
Type: Workers' Compensation Claims Status: Approved
File created: 9/7/2021 In control: Finance Committee
On agenda: 10/6/2021 Final action: 10/7/2021
Title: Employee: Annette McCollough Job Title: Clerk Department: Provident Hospital Date of Incident: 08/13/21 Incident/Activity: Petitioner injured her right wrist when she fell. Accidental Injuries: Right wrist Petition and Order No: 21 WC 13315 Claim Amount: $4,000.00 Attorney: Ankin Law Group, LLC Date of Subcommittee Approval: n/a Prior/pending claims: n/a

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Employee: Annette McCollough

Job Title: Clerk

Department: Provident Hospital

Date of Incident: 08/13/21

Incident/Activity: Petitioner injured her right wrist when she fell.  

Accidental Injuries: Right wrist 

Petition and Order No: 21 WC 13315

Claim Amount: $4,000.00

Attorney: Ankin Law Group, LLC

Date of Subcommittee Approval: n/a

Prior/pending claims: n/a

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