File #: 22-3635    Version: 1 Name: John Kowalski - 06/15/22
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: John Kowalski Job Title: Deputy Sheriff Sergeant Department: Corrections Date of Incident: 09/16/2020 Incident/Activity: Petitioner injured his left leg and left arm when he was tackled by a colleague at work. Accidental Injuries: Left Leg, Left Arm Petition and Order No: 20 WC 26400; 20 WC 28824 Claim Amount: $24,752.76 Attorney: DePaolo & Zadeikis Date of Subcommittee Approval: N/A Prior/pending claims: N/A

title

Employee: John Kowalski

Job Title: Deputy Sheriff Sergeant

Department: Corrections

Date of Incident: 09/16/2020

Incident/Activity: Petitioner injured his left leg and left arm when he was tackled by a colleague at work.

Accidental Injuries: Left Leg, Left Arm

Petition and Order No: 20 WC 26400; 20 WC 28824

Claim Amount: $24,752.76

Attorney: DePaolo & Zadeikis

Date of Subcommittee Approval: N/A

Prior/pending claims: N/A

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