File #: 22-4238    Version: 1 Name: Xavier Jones - 7/27/22
Type: Workers' Compensation Claims Status: Approved
File created: 7/4/2022 In control: Finance Committee
On agenda: 7/27/2022 Final action: 7/28/2022
Title: Employee: Xavier Jones Job Title: Youth Development Specialist Department: Juvenile Temporary Detention Center Date of Incident: 7/7/2016; 3/14/2019; 9/20/2022 Incident/Activity: On July 7, 2016, Petitioner injured his right wrist, right knee, and right ankle while applying physical restraint to a resident. On March 14, 2019, Petitioner injured his right elbow and right wrist while applying physical restraint on resident. On September 20, 2020, Petitioner injured his left shoulder during an altercation with two residents. Accidental Injuries: Right Wrist, Right Knee, Right Ankle, Right Elbow, and Left Shoulder Petition and Order No: 16 WC 27998; 19 WC 08614 Claim Amount: $39,834.39 Attorney: Jordan Browen and Costa Ivone, LLC Date of Subcommittee Approval: 6/14/2022 Prior/pending claims: 4/29/2003 ($2,500.00)

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Employee: Xavier Jones

Job Title: Youth Development Specialist

Department: Juvenile Temporary Detention Center

Date of Incident: 7/7/2016; 3/14/2019; 9/20/2022

Incident/Activity: On July 7, 2016, Petitioner injured his right wrist, right knee, and right ankle while applying physical restraint to a resident.  On March 14, 2019, Petitioner injured his right elbow and right wrist while applying physical restraint on resident.  On September 20, 2020, Petitioner injured his left shoulder during an altercation with two residents. 

Accidental Injuries: Right Wrist, Right Knee, Right Ankle, Right Elbow, and Left Shoulder 

Petition and Order No: 16 WC 27998; 19 WC 08614

Claim Amount: $39,834.39

Attorney: Jordan Browen and Costa Ivone, LLC

Date of Subcommittee Approval: 6/14/2022

Prior/pending claims: 4/29/2003 ($2,500.00

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