File #: 22-3239    Version: 1 Name: 22-3239 Risk Management Workers Compensation Settlement (Claim No. 202009039)
Type: Workers' Compensation Claims (Risk Management) Status: Approved
File created: 5/3/2022 In control: Finance Committee
On agenda: 5/11/2022 Final action:
Title: WORKERS' COMPENSATION CLAIMS (RISK MANAGEMENT) Employee: Thomas, Sir John Job Title: 3999.In-House Registry Nurse Department: Cermak Health Services Date of Incident: 4/27/2020 Incident/Activity: The employee was exposed to Covid-19. (COVID-19) Accidental Injuries: Lungs Petition and Order No: 20 WC 21413 Claim Amount: $4,183.45 Attorney: Josh Rudolfi, Ankin Law Office, LLC Date of Subcommittee Approval: N/A Prior/pending claims: The Department of Risk Management is submitting for your information the attached claims summary with all prior and pending claims.
Indexes: DEANNA ZALAS, Director, Department of Risk Management

title

WORKERS’ COMPENSATION CLAIMS (RISK MANAGEMENT)

Employee: Thomas, Sir John

Job Title: 3999.In-House Registry Nurse

Department: Cermak Health Services

Date of Incident: 4/27/2020

Incident/Activity: The employee was exposed to Covid-19. (COVID-19)

Accidental Injuries: Lungs

Petition and Order No: 20 WC 21413

Claim Amount: $4,183.45

Attorney: Josh Rudolfi, Ankin Law Office, LLC

Date of Subcommittee Approval: N/A

Prior/pending claims: The Department of Risk Management is submitting for your information the attached claims summary with all prior and pending claims.

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