File #: 22-1389    Version: 1 Name: Cynthia Hargons - 2/9/22
Type: Workers' Compensation Claims Status: Approved
File created: 1/20/2022 In control: Finance Committee
On agenda: 2/9/2022 Final action: 2/10/2022
Title: Employee: Cynthia Hargons Job Title: Janitor III Department: Facilities Management Date of Incident: 4/3/2018 Incident/Activity: Trying to catch a box from falling off a pallet Accidental Injuries: Right Leg Petition and Order No: 20 WC 27543 Claim Amount: $500.00 Attorney: Lindsey Strom and Strom & Associates Date of Subcommittee Approval: N/A Prior/pending claims: 11/8/2018 (pending); 5/1/2019 (pending); 5/20/2019 (pending); and 5/1/2020 (pending)

title

Employee: Cynthia Hargons

Job Title: Janitor III

Department: Facilities Management

Date of Incident: 4/3/2018

Incident/Activity: Trying to catch a box from falling off a pallet

Accidental Injuries: Right Leg 

Petition and Order No: 20 WC 27543

Claim Amount: $500.00

Attorney: Lindsey Strom and Strom & Associates

Date of Subcommittee Approval: N/A

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

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