File #: 21-5775    Version: 1 Name: George Marciniak - 11/03/2021
Type: Workers' Compensation Claims Status: Approved
File created: 10/8/2021 In control: Finance Committee
On agenda: 11/3/2021 Final action: 11/4/2021
Title: Employee: George Marciniak Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 07/05/2015 Incident/Activity: Petitioner injured his left knee and right shoulder while restraining an inmate. Accidental Injuries: Left knee, right shoulder Petition and Order No: 16 WC 3205 Claim Amount: $38,938.71 Attorney: Seidman, Margulis & Fairman, LLP Date of Subcommittee Approval: 09/22/2021 Prior/pending claims: 11/24/2020 (pending)

title

Employee: George Marciniak

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 07/05/2015

Incident/Activity: Petitioner injured his left knee and right shoulder while restraining an inmate. 

Accidental Injuries: Left knee, right shoulder 

Petition and Order No: 16 WC 3205

Claim Amount: $38,938.71

Attorney: Seidman, Margulis & Fairman, LLP

Date of Subcommittee Approval: 09/22/2021

Prior/pending claims: 11/24/2020 (pending)

end