Board of Commissioners of Cook County - File #: 22-4382

• File #: 22-4382
• Version: 1
• Name: Owen Gibson - 07/27/22
• 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: Owen Gibson Job Title: Motor Vehicle Driver Department: Motor Fuel Tax Illinois First Date of Incident: 05/06/2018 Incident/Activity: Petitioner injured his lower back, left arm, and left shoulder lifting a tree off the ground. Accidental Injuries: Lower Back; Left Arm; Left Shoulder Petition and Order No: 19 WC 13860 Claim Amount: $41,650.69 Attorney: Gordon & Centracchio, LLC Date of Subcommittee Approval: 06/14/2022 Prior/pending claims: N/A

Date	Ver.	Action By	Motion	Result
7/28/2022	1	Board of Commissioners	approve	Pass
7/27/2022	1	Finance Committee	recommend for approval	Pass

title

Employee: Owen Gibson

Job Title: Motor Vehicle Driver

Department: Motor Fuel Tax Illinois First

Date of Incident: 05/06/2018

Incident/Activity: Petitioner injured his lower back, left arm, and left shoulder lifting a tree off the ground.

Accidental Injuries: Lower Back; Left Arm; Left Shoulder

Petition and Order No: 19 WC 13860

Claim Amount: $41,650.69

Attorney: Gordon & Centracchio, LLC

Date of Subcommittee Approval: 06/14/2022

Prior/pending claims: N/A

end