File #: 22-3591    Version: 1 Name: Sam Khzakia - 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: Sam Khzakia Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 03/27/2020 Incident/Activity: Petitioner was exposed to COVID-19. Accidental Injuries: Respiratory Petition and Order No: 20 WC 09314 Claim Amount: $3,848.40 Attorney: Law Offices of Argionis & Associates, LLC. Date of Subcommittee Approval: n/a Prior/pending claims: 08/29/2020 (pending)

title

Employee: Sam Khzakia

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 03/27/2020

Incident/Activity: Petitioner was exposed to COVID-19. 

Accidental Injuries: Respiratory

Petition and Order No: 20 WC 09314

Claim Amount: $3,848.40

Attorney: Law Offices of Argionis & Associates, LLC.

Date of Subcommittee Approval: n/a

Prior/pending claims: 08/29/2020 (pending)

end