File #: 22-4144    Version: 1 Name: Jesus Barajas - 07/27/22
Type: Workers' Compensation Claims Status: Approved
File created: 6/28/2022 In control: Finance Committee
On agenda: 7/27/2022 Final action: 7/28/2022
Title: Employee: Jesus Barajas Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 10/15/2014 Incident/Activity: Petitioner injured his lower back and bilateral legs when he slipped and fell to the ground. Accidental Injuries: Lower back, bilateral legs Petition and Order No: 15 WC 16540 Claim Amount: $84,979.13 Attorney: Richard O. Greenfield Date of Subcommittee Approval: 06/14/2022 Prior/pending claims: n/a

title

Employee: Jesus Barajas

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 10/15/2014

Incident/Activity: Petitioner injured his lower back and bilateral legs when he slipped and fell to the ground.

Accidental Injuries: Lower back, bilateral legs

Petition and Order No: 15 WC 16540

Claim Amount: $84,979.13

Attorney: Richard O. Greenfield

Date of Subcommittee Approval: 06/14/2022

Prior/pending claims: n/a

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