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File #: 22-5082    Version: 1 Name: Patricia Rodriguez - 09/21/22
Type: Workers' Compensation Claims Status: Approved
File created: 8/25/2022 In control: Finance Committee
On agenda: 9/21/2022 Final action: 9/22/2022
Title: Employee: Patricia Rodriguez Job Title: Translator Department: Clerk of the Circuit Court Date of Incident: 11/13/12; 12/09/2015 Incident/Activity: On November 13, 2012, Petitioner injured her back and head when she fell out of a broken chair. On December 9, 2015, Petitioner injured her head when she tripped and fell. Accidental Injuries: Back, head Petition and Order No: 12 WC 42206; 15 WC 40999 Claim Amount: $13,075.20 Attorney: Seidman, Marguilis & Fairman, LLP Date of Subcommittee Approval: n/a Prior/pending claims: 10/19/2004 ($7,668.00)

title

Employee: Patricia Rodriguez

Job Title: Translator

Department: Clerk of the Circuit Court

Date of Incident: 11/13/12; 12/09/2015

Incident/Activity: On November 13, 2012, Petitioner injured her back and head when she fell out of a broken chair.  On December 9, 2015, Petitioner injured her head when she tripped and fell.

Accidental Injuries: Back, head 

Petition and Order No: 12 WC 42206; 15 WC 40999

Claim Amount: $13,075.20

Attorney: Seidman, Marguilis & Fairman, LLP

Date of Subcommittee Approval: n/a

Prior/pending claims: 10/19/2004 ($7,668.00)

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