File #: 22-2126    Version: 1 Name: Cynthia Hargons - 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: Cynthia Hargons Job Title: Janitor III Department: Facilities Management Date of Incident: 11/08/2018; 05/01/2019; 05/20/2019 Incident/Activity: On November 8, 2018, Petitioner injured her lower back while removing garbage and recycle materials. On May 1, 2019, Petitioner reinjured her lower back while moving boxes. On May 20, 2019, Petitioner injured the left side of her head while washing out a mop bucket. Accidental Injuries: lower back and left side of head Petition and Order No: 19 WC 13274; 21 WC 32462 Claim Amount: $14,720.00 Attorney: Lindsey Strom and Strom & Associates Date of Subcommittee Approval: N/A Prior/pending claims: 02/06/2017 ($500.00); 04/03/2018 ($500.00); 05/01/2020 (pending litigation)

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Employee: Cynthia Hargons

Job Title: Janitor III

Department: Facilities Management

Date of Incident: 11/08/2018; 05/01/2019; 05/20/2019

Incident/Activity: On November 8, 2018, Petitioner injured her lower back while removing garbage and recycle materials. On May 1, 2019, Petitioner reinjured her lower back while moving boxes. On May 20, 2019, Petitioner injured the left side of her head while washing out a mop bucket.

Accidental Injuries: lower back and left side of head 

Petition and Order No: 19 WC 13274; 21 WC 32462

Claim Amount: $14,720.00

Attorney: Lindsey Strom and Strom & Associates

Date of Subcommittee Approval: N/A

Prior/pending claims: 02/06/2017 ($500.00); 04/03/2018 ($500.00); 05/01/2020 (pending litigation) 

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