File #: 22-5144    Version: 1 Name: Raymond Farmer - 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: Raymond Farmer Job Title: Operating Engineer Department: Provident Hospital Date of Incident: 08/30/2021 Incident/Activity: Petitioner injured his left knee when he tripped and fell. Accidental Injuries: Left leg Petition and Order No: 21 WC 26351 Claim Amount: $19,140.47 Attorney: The Law Offices of Scott B. Shapiro, P.C. Date of Subcommittee Approval: n/a Prior/pending claims: 03/08/2018 (dismissed)

title

Employee: Raymond Farmer

Job Title: Operating Engineer

Department: Provident Hospital

Date of Incident: 08/30/2021

Incident/Activity: Petitioner injured his left knee when he tripped and fell.

Accidental Injuries: Left leg

Petition and Order No: 21 WC 26351

Claim Amount: $19,140.47

Attorney: The Law Offices of Scott B. Shapiro, P.C.

Date of Subcommittee Approval: n/a

Prior/pending claims: 03/08/2018 (dismissed) 

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