File #: 22-4155    Version: 1 Name: William Vanderveen - 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: William Vanderveen Job Title: Youth Development Specialist Department: Juvenile Temporary Detention Center Date of Incident: 02/18/2020 Incident/Activity: Petitioner injured his back, left shoulder, chest and neck while restraining a resident. Accidental Injuries: Back, left shoulder, chest and neck. Petition and Order No: 20 WC 16454 Claim Amount: $29,289.75 Attorney: Saks, Robinson & Rittenberg, Ltd. Date of Subcommittee Approval: 06/14/2022 Prior/pending claims: n/a

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Employee: William Vanderveen

Job Title: Youth Development Specialist

Department: Juvenile Temporary Detention Center

Date of Incident: 02/18/2020

Incident/Activity: Petitioner injured his back, left shoulder, chest and neck while restraining a resident.

Accidental Injuries: Back, left shoulder, chest and neck. 

Petition and Order No: 20 WC 16454

Claim Amount: $29,289.75

Attorney: Saks, Robinson & Rittenberg, Ltd.

Date of Subcommittee Approval: 06/14/2022

Prior/pending claims: n/a

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