File #: 22-2119    Version: 1 Name: Angelic Camacho 3/16/22
Type: Workers' Compensation Claims Status: Approved
File created: 3/1/2022 In control: Finance Committee
On agenda: 3/16/2022 Final action: 3/17/2022
Title: Employee: Angelic Camacho Job Title: CMT II Department: Juvenile Temporary Detention Center Date of Incident: 05/09/2016 Incident/Activity: slipped and fell on food on the floor Accidental Injuries: left hip, ankle, wrist and elbow Petition and Order No: 16 WC 19600 Claim Amount: $15,090.37 Attorney: Jennifer Kelly and Anesi Ozmon Rodin Novak & Kohen, LTD Date of Subcommittee Approval: N/A Prior/pending claims: N/A

title

Employee: Angelic Camacho

Job Title: CMT II

Department: Juvenile Temporary Detention Center

Date of Incident: 05/09/2016

Incident/Activity: slipped and fell on food on the floor

Accidental Injuries: left hip, ankle, wrist and elbow

Petition and Order No: 16 WC 19600

Claim Amount: $15,090.37

Attorney: Jennifer Kelly and Anesi Ozmon Rodin Novak & Kohen, LTD

Date of Subcommittee Approval: N/A

Prior/pending claims: N/A

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