File #: 22-4387    Version: 1 Name: Jose Perez - 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: Jose Perez Job Title: Correctional Officer Department: Corrections Date of Incident: 05/18/2021 Incident/Activity: Petitioner injured his lower back opening a cell door that was stuck. Accidental Injuries: Lower Back Petition and Order No: 21 WC 17686 Claim Amount: $23,193.25 Attorney: Whiteside & Goldberg, Ltd. Date of Subcommittee Approval: N/A Prior/pending claims: 09/21/2017 ($6,486.76); 12/29/2008 ($6,305.16)

title

Employee: Jose Perez

Job Title: Correctional Officer

Department: Corrections

Date of Incident: 05/18/2021

Incident/Activity: Petitioner injured his lower back opening a cell door that was stuck.

Accidental Injuries: Lower Back

Petition and Order No: 21 WC 17686

Claim Amount: $23,193.25

Attorney: Whiteside & Goldberg, Ltd.

Date of Subcommittee Approval: N/A

Prior/pending claims: 09/21/2017 ($6,486.76); 12/29/2008 ($6,305.16)

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