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File #: 22-5143    Version: 1 Name: Andre Roman - 09/21/22
Type: Workers' Compensation Claims Status: Approved
File created: 8/30/2022 In control: Finance Committee
On agenda: 9/21/2022 Final action: 9/22/2022
Title: Employee: Andre Roman Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 06/17/2020 Incident/Activity: Petitioner injured his left arm when he slipped and fell in water on the floor. Accidental Injuries: Left arm Petition and Order No: 20 WC 22853 Claim Amount: $24,675.00 Attorney: Cuda Law Offices, LTD. Date of Subcommittee Approval: n/a Prior/pending claims: 05/24/2016; 09/17/2016; 07/12/2017; 06/14/2018; 10/13/2018 ($34,389.62)

title

Employee: Andre Roman

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 06/17/2020

Incident/Activity: Petitioner injured his left arm when he slipped and fell in water on the floor. 

Accidental Injuries: Left arm 

Petition and Order No: 20 WC 22853

Claim Amount: $24,675.00

Attorney: Cuda Law Offices, LTD.

Date of Subcommittee Approval: n/a

Prior/pending claims: 05/24/2016; 09/17/2016; 07/12/2017; 06/14/2018; 10/13/2018 ($34,389.62) 

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