File #: 22-0916    Version: 1 Name: Cynthia A. Hargons - 1/12/22
Type: Workers' Compensation Claims Status: Approved
File created: 12/28/2021 In control: Finance Committee
On agenda: 1/12/2022 Final action: 1/13/2022
Title: Employee: Cynthia A. Hargons Job Title: Janitor III Department: Facilities Management Date of Incident: 2/6/2017 Incident/Activity: Petitioner slipped and fell on the floor she was cleaning when the mop handle detached from the mop head Accidental Injuries: left wrist, left shoulder, and back Petition and Order No: 17 WC 11830 Claim Amount: $500.00 Attorney: Lindsey Strom and Strom & Associates Date of Subcommittee Approval: N/A Prior/pending claims: 4/3/2018 (pending); 11/8/2018 (pending); 5/1/2019 (pending); 5/20/2019 (pending); and 5/1/2020 (pending)

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Employee: Cynthia A. Hargons

Job Title: Janitor III

Department: Facilities Management

Date of Incident: 2/6/2017

Incident/Activity: Petitioner slipped and fell on the floor she was cleaning when the mop handle detached from the mop head 

Accidental Injuries: left wrist, left shoulder, and back

Petition and Order No: 17 WC 11830

Claim Amount: $500.00

Attorney: Lindsey Strom and Strom & Associates

Date of Subcommittee Approval: N/A

Prior/pending claims: 4/3/2018 (pending); 11/8/2018 (pending); 5/1/2019 (pending); 5/20/2019 (pending); and 5/1/2020 (pending) 

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