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File #: 22-5099    Version: 1 Name: Thomas James - 9/21/22
Type: Workers' Compensation Claims Status: Approved
File created: 8/26/2022 In control: Finance Committee
On agenda: 9/21/2022 Final action: 9/22/2022
Title: Employee: Thomas James Job Title: Custodial II Department: Facilities Management Date of Incident: 10/22/2014/14/2015 Incident/Activity: On October 22, 2014, Petitioner injured his lumbar spine when he tripped on a floor mat. On October 14, 2015, Petitioner felt pain in his lumbar spine after lifting a box. Accidental Injuries: Lumbar Spine Petition and Order No: 15 WC 36136 Claim Amount: $24,595.20 Attorney: Michael Casey and Vrdolyak Law Group LLC Date of Subcommittee Approval: N/A Prior/pending claims: N/A

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Employee: Thomas James

Job Title: Custodial II

Department: Facilities Management

Date of Incident: 10/22/2014/14/2015

Incident/Activity: On October 22, 2014, Petitioner injured his lumbar spine when he tripped on a floor mat.  On October 14, 2015, Petitioner felt pain in his lumbar spine after lifting a box.   

Accidental Injuries: Lumbar Spine 

Petition and Order No: 15 WC 36136 

Claim Amount: $24,595.20

Attorney: Michael Casey and Vrdolyak Law Group LLC

Date of Subcommittee Approval: N/A

Prior/pending claims: N/A 

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