Board of Commissioners of Cook County - File #: 22-4504

• File #: 22-4504
• Version: 1
• Name: RM WC Settlement
• Type: Workers' Compensation Claims (Risk Management)
• Status: Approved
• File created: 7/13/2022
• In control: Finance Committee
• On agenda: 7/27/2022
• Title: WORKERS' COMPENSATION CLAIMS (RISK MANAGEMENT) Employee: Sandoval, Adrian Job Title: 1328.County Police Officer Department: Police Department Date of Incident: 10/02/2019 Incident/Activity: Employee hit from another vehicle head on collision. (Right Hip, Right Leg, Lower Back Accidental Injuries: Multiple Body Parts (Including Body Systems and Body Parts Petition and Order No: 19 WC 029 Claim Amount: $8,336.90 Attorney: RAYMOND P GARZA, RAYMOND P GARZA LAW OFFIC, Date of Subcommittee Approval: N/A Prior/pending claims: The Department of Risk Management is submitting for your information the attached claims summary with all prior and pending claims
• Indexes: DEANNA ZALAS, Director, Department of Risk Management

Date	Ver.	Action By	Motion	Result
7/27/2022	1	Finance Committee	recommend for approval	Pass

title

WORKERS’ COMPENSATION CLAIMS (RISK MANAGEMENT)

Employee: Sandoval, Adrian

Job Title: 1328.County Police Officer

Department:  Police Department

Date of Incident: 10/02/2019

Incident/Activity:  Employee hit from another

vehicle head on collision. (Right Hip, Right Leg, Lower Back 

Accidental Injuries: Multiple Body Parts (Including

Body Systems and Body Parts 

Petition and Order No: 19 WC 029

Claim Amount: $8,336.90

Attorney: RAYMOND P GARZA, RAYMOND P GARZA LAW OFFIC,

Date of Subcommittee Approval: N/A

Prior/pending claims: The Department of Risk Management is submitting for your information the attached claims summary with all prior and pending claims 

end