File #: 22-3628    Version: 1 Name: Sam Khzakia - 6/15/22
Type: Workers' Compensation Claims Status: Approved
File created: 5/25/2022 In control: Finance Committee
On agenda: 6/15/2022 Final action: 6/16/2022
Title: Employee: Sam Khzakia Job Title: Correctional Officer Department: Corrections Date of Incident: 3/27/2020 Incident/Activity: Petitioner alleges he contracted Covid-19 when an inmate coughed in his face. Accidental Injuries: whole person Petition and Order No: 20 WC 09314 Claim Amount: $3,848.40 Attorney: Al Koritsaris and the Law Offices of Argionis & Assoiciates, LLC Date of Subcommittee Approval: N/A Prior/pending claims: 8/29/2020 (pending)

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Employee: Sam Khzakia

Job Title: Correctional Officer

Department: Corrections

Date of Incident: 3/27/2020

Incident/Activity: Petitioner alleges he contracted Covid-19 when an inmate coughed in his face.

Accidental Injuries: whole person 

Petition and Order No: 20 WC 09314

Claim Amount: $3,848.40

Attorney: Al Koritsaris and the Law Offices of Argionis & Assoiciates, LLC

Date of Subcommittee Approval: N/A

Prior/pending claims: 8/29/2020 (pending)

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