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File #: 22-5092    Version: 1 Name: Samuel Sandoval - 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: Samuel Sandoval Job Title: Trainee Correctional Officer Department: Department of Corrections Date of Incident: 10/13/2020 Incident/Activity: Petitioner injured his back during physical training. Accidental Injuries: Back Petition and Order No: 22 WC 03046 Claim Amount: $4,392.00 Attorney: Whiteside & Goldberg, Ltd. Date of Subcommittee Approval: n/a Prior/pending claims: n/a

title

Employee: Samuel Sandoval

Job Title: Trainee Correctional Officer

Department: Department of Corrections

Date of Incident: 10/13/2020

Incident/Activity: Petitioner injured his back during physical training. 

Accidental Injuries: Back

Petition and Order No: 22 WC 03046

Claim Amount: $4,392.00

Attorney: Whiteside & Goldberg, Ltd.

Date of Subcommittee Approval: n/a

Prior/pending claims: n/a

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