File #: 22-0825    Version: 1 Name: Jan Wilson - 01/12/22
Type: Workers' Compensation Claims Status: Approved
File created: 12/20/2021 In control: Finance Committee
On agenda: 1/12/2022 Final action: 1/13/2022
Title: Employee: Jan Wilson Job Title: Correctional Officer Department: Corrections Date of Incident: 08/10/2020 Incident/Activity: Petitioner injured his right knee and left ankle after a desk collapsed on him while at work. Accidental Injuries: Right Knee; Left Ankle Petition and Order No: 20 WC 19251 Claim Amount: $37,954.70 Attorney: Vitell & Spitz, Ltd. Date of Subcommittee Approval: 12/14/2021 Prior/pending claims: 12/04/2018 ($1,000.00)

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Employee: Jan Wilson

Job Title: Correctional Officer

Department: Corrections

Date of Incident: 08/10/2020

Incident/Activity: Petitioner injured his right knee and left ankle after a desk collapsed on him while at work.

Accidental Injuries: Right Knee; Left Ankle

Petition and Order No: 20 WC 19251

Claim Amount: $37,954.70

Attorney: Vitell & Spitz, Ltd.

Date of Subcommittee Approval: 12/14/2021

Prior/pending claims: 12/04/2018 ($1,000.00)

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