File #: 22-1393    Version: 1 Name: Sebastian Kowalski - 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: Sebastian Kowalski Job Title: Interpreter Department: John H. Stroger Hospital Date of Incident: 6/23/2020 Incident/Activity: Slipped on water and fell on the floor Accidental Injuries: Head and Left Wrist Petition and Order No: 20 WC 17756 Claim Amount: $19,595.52 Attorney: Michael Rom and Cullen Haskins Nicholson Date of Subcommittee Approval: N/A Prior/pending claims: N/A

title

Employee: Sebastian Kowalski

Job Title: Interpreter

Department: John H. Stroger Hospital

Date of Incident: 6/23/2020

Incident/Activity: Slipped on water and fell on the floor

Accidental Injuries: Head and Left Wrist 

Petition and Order No: 20 WC 17756

Claim Amount: $19,595.52

Attorney: Michael Rom and Cullen Haskins Nicholson

Date of Subcommittee Approval: N/A

Prior/pending claims: N/A 

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