File #: 22-5538    Version: 1 Name: Primitivo Olavarria - 10/19/22
Type: Workers' Compensation Claims Status: Approved
File created: 9/20/2022 In control: Finance Committee
On agenda: 10/19/2022 Final action: 10/20/2022
Title: Employee: Primitivo Olavarria Job Title: Correctional Officer Department: Sheriff's Office Date of Incident: 06/29/2021 Incident/Activity: Petitioner injured his back when the vehicle he was driving at work was struck by another vehicle. Accidental Injuries: Back Petition and Order No: 21 WC 019092 Claim Amount: $13,375.95 Attorney: Whiteside & Goldberg, Ltd. Date of Subcommittee Approval: N/A Prior/pending claims: N/A

title

Employee: Primitivo Olavarria

Job Title: Correctional Officer

Department: Sheriff’s Office

Date of Incident: 06/29/2021

Incident/Activity: Petitioner injured his back when the vehicle he was driving at work was struck by another vehicle.

Accidental Injuries: Back

Petition and Order No: 21 WC 019092

Claim Amount: $13,375.95

Attorney: Whiteside & Goldberg, Ltd.

Date of Subcommittee Approval: N/A

Prior/pending claims: N/A 

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