File #: 21-5662    Version: 1 Name: Willie Stallings - 11/03/2021
Type: Workers' Compensation Claims Status: Approved
File created: 10/1/2021 In control: Finance Committee
On agenda: 11/3/2021 Final action: 11/4/2021
Title: Employee: Willie Stallings Job Title: Seasonal Clerk Department: County Clerk's Office Date of Incident: 07/01/2020; 04/06/2021 Incident/Activity: On July 1, 2020, Petitioner injured his right foot when a box fell on it. On April 6, 2021, Petitioner injured his left shoulder, left hip, cervical spine, and lumbar spine when he fell from a chair. Accidental Injuries: Right foot, left shoulder, left hip, cervical spine, lumbar spine. Petition and Order No: 21 WC 9472 Claim Amount: $7,497.60 Attorney: James Ellis Gumbiner & Associates Date of Subcommittee Approval: n/a Prior/pending claims: n/a

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Employee: Willie Stallings

Job Title: Seasonal Clerk

Department: County Clerk’s Office

Date of Incident: 07/01/2020; 04/06/2021

Incident/Activity: On July 1, 2020, Petitioner injured his right foot when a box fell on it.  On April 6, 2021, Petitioner injured his left shoulder, left hip, cervical spine, and lumbar spine when he fell from a chair. 

Accidental Injuries: Right foot, left shoulder, left hip, cervical spine, lumbar spine. 

Petition and Order No: 21 WC 9472

Claim Amount: $7,497.60

Attorney: James Ellis Gumbiner & Associates

Date of Subcommittee Approval: n/a

Prior/pending claims: n/a 

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