File #: 22-3101    Version: 1 Name: John Fitzmaurice - 05/11/22
Type: Workers' Compensation Claims Status: Approved
File created: 4/26/2022 In control: Finance Committee
On agenda: 5/11/2022 Final action: 5/12/2022
Title: Employee: John Fitzmaurice Job Title: Painter Department: Facilities Management Date of Incident: 01/29/2018 Incident/Activity: On January 29, 2018, Petitioner injured his left shoulder, left hand, and right hand lifting paint cans. Accidental Injuries: Left shoulder; Left hand, Right hand Petition and Order No: 18 WC 04989; 19 WC 01384 Claim Amount: $35,000.00 Attorney: Topper and Weiss, Ltd. Date of Subcommittee Approval: 04/05/2022 Prior/pending claims: 05/31/2011 ($16,741.00)

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Employee: John Fitzmaurice

Job Title: Painter

Department: Facilities Management

Date of Incident: 01/29/2018

Incident/Activity: On January 29, 2018, Petitioner injured his left shoulder, left hand, and right hand lifting paint cans.

Accidental Injuries: Left shoulder; Left hand, Right hand

Petition and Order No: 18 WC 04989; 19 WC 01384

Claim Amount: $35,000.00

Attorney: Topper and Weiss, Ltd.

Date of Subcommittee Approval: 04/05/2022

Prior/pending claims: 05/31/2011 ($16,741.00)

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