File #: 22-5539    Version: 1 Name: Matthew Olson - 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: Matthew Olson Job Title: Temporary Election Judge Department: County Clerk's Office Date of Incident: 11/03/2020 Incident/Activity: Petitioner injured his left arm and right hand after he fell down the stairs at work. Accidental Injuries: Left Arm; Right Hand Petition and Order No: 20 WC 029322 Claim Amount: $26,800.33 Attorney: Kosin Law Office, Ltd. Date of Subcommittee Approval: 09/13/2022 Prior/pending claims: N/A

title

Employee: Matthew Olson

Job Title: Temporary Election Judge

Department: County Clerk’s Office

Date of Incident: 11/03/2020

Incident/Activity: Petitioner injured his left arm and right hand after he fell down the stairs at work.

Accidental Injuries: Left Arm; Right Hand

Petition and Order No: 20 WC 029322

Claim Amount: $26,800.33

Attorney: Kosin Law Office, Ltd.

Date of Subcommittee Approval: 09/13/2022

Prior/pending claims: N/A

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