File #: 22-1297    Version: 1 Name: Mark Smith - 02-09-2022
Type: Workers' Compensation Claims Status: Approved
File created: 1/13/2022 In control: Finance Committee
On agenda: 2/9/2022 Final action: 2/10/2022
Title: Employee: Mark Smith Job Title: Police Officer Department: Sheriff's Police Department Date of Incident: 08/25/2019 Incident/Activity: Petitioner injured his neck and back when he was rear-ended in a motor vehicle accident. Accidental Injuries: Neck, back Petition and Order No: 19 WC 27739 Claim Amount: $88,684.03 Attorney: Burnes & Libman Date of Subcommittee Approval: 01/11/2022 Prior/pending claims: n/a

title

Employee: Mark Smith

Job Title: Police Officer

Department: Sheriff’s Police Department

Date of Incident: 08/25/2019

Incident/Activity: Petitioner injured his neck and back when he was rear-ended in a motor vehicle accident.

Accidental Injuries: Neck, back 

Petition and Order No: 19 WC 27739

Claim Amount: $88,684.03

Attorney: Burnes & Libman

Date of Subcommittee Approval: 01/11/2022

Prior/pending claims: n/a

end