File #: 22-2071    Version: 1 Name: Diana Ruiz - 03/16/22
Type: Workers' Compensation Claims Status: Approved
File created: 2/25/2022 In control: Finance Committee
On agenda: 3/16/2022 Final action: 3/17/2022
Title: Employee: Diana Ruiz Job Title: Dental Assistant Department: Stroger Hospital Date of Incident: 02/11/2021 Incident/Activity: Petitioner injured her head, neck, back, and left leg after she slipped on water on the floor. Accidental Injuries: Hematoma, back contusion, Left ankle sprain and tendinitis Petition and Order No: 21 WC 006253 Claim Amount: $24,571.20 Attorney: Rubens, Kress and Mulholland Date of Subcommittee Approval: 02/09/2022 Prior/pending claims: N/A

title

Employee: Diana Ruiz

Job Title: Dental Assistant

Department: Stroger Hospital

Date of Incident: 02/11/2021

Incident/Activity: Petitioner injured her head, neck, back, and left leg after she slipped on water on the floor.

Accidental Injuries: Hematoma, back contusion, Left ankle sprain and tendinitis

Petition and Order No: 21 WC 006253

Claim Amount: $24,571.20

Attorney: Rubens, Kress and Mulholland

Date of Subcommittee Approval: 02/09/2022

Prior/pending claims: N/A

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