File #: 22-3586    Version: 1 Name: Sean DuBose - 06-15-2022
Type: Workers' Compensation Claims Status: Approved
File created: 5/24/2022 In control: Finance Committee
On agenda: 6/15/2022 Final action: 6/16/2022
Title: Employee: Sean DuBose Job Title: Youth Development Specialist Department: Juvenile Temporary Detention Center Date of Incident: 01/03/2020 Incident/Activity: Petitioner injured his back, neck, left knee, and left ankle breaking up a fight between residents. Accidental Injuries: Back, neck, left knee, left ankle. Petition and Order No: 20 WC 01772 Claim Amount: $33,839.93 Attorney: Sakes, Robinson & Rittenberg, Ltd. Date of Subcommittee Approval: 05/09/2022 Prior/pending claims: n/a

title

Employee: Sean DuBose

Job Title: Youth Development Specialist

Department: Juvenile Temporary Detention Center

Date of Incident: 01/03/2020

Incident/Activity: Petitioner injured his back, neck, left knee, and left ankle breaking up a fight between residents. 

Accidental Injuries: Back, neck, left knee, left ankle. 

Petition and Order No: 20 WC 01772

Claim Amount: $33,839.93

Attorney: Sakes, Robinson & Rittenberg, Ltd.

Date of Subcommittee Approval: 05/09/2022

Prior/pending claims: n/a 

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