File #: 22-4379    Version: 1 Name: David Evans - 7/27/2022
Type: Workers' Compensation Claims Status: Approved
File created: 7/8/2022 In control: Finance Committee
On agenda: 7/27/2022 Final action: 7/28/2022
Title: Employee: David Evans Job Title: Correctional Officer Department: Corrections Date of Incident: 12/16/2015 Incident/Activity: Petitioner was injured after striking a wheelchair Accidental Injuries: Back, Ribs, Left leg Petition and Order No: 3,160.48 Claim Amount: $3,160.48 Attorney: Dworkin and Maciariello Date of Subcommittee Approval: n/a Prior/pending claims: 07/21/2006 ($40,000.00); 08/26/2010 ($16,500.00); 06/17/2015 ($9,771.00)

title

Employee: David Evans

Job Title: Correctional Officer

Department: Corrections

Date of Incident: 12/16/2015

Incident/Activity: Petitioner was injured after striking a wheelchair 

Accidental Injuries: Back, Ribs, Left leg 

Petition and Order No: 3,160.48

Claim Amount: $3,160.48

Attorney: Dworkin and Maciariello

Date of Subcommittee Approval: n/a

Prior/pending claims: 07/21/2006 ($40,000.00); 08/26/2010 ($16,500.00); 06/17/2015 ($9,771.00)

end