File #: 22-5596    Version: 1 Name: Otis Elmore - 10/19/2022
Type: Workers' Compensation Claims Status: Approved
File created: 9/21/2022 In control: Finance Committee
On agenda: 10/19/2022 Final action: 10/20/2022
Title: Employee: Otis Elmore Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 03/30/2020 Incident/Activity: Petitioner alleges exposure to COVID-19 in the workplace. Accidental Injuries: Respiratory Petition and Order No: 20 WC 15226 Claim Amount: $4,300.00 Attorney: Gordon & Centracchio, LLC Date of Subcommittee Approval: n/a Prior/pending claims: 12/11/2017 ($10,000.00)

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Employee: Otis Elmore

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 03/30/2020

Incident/Activity: Petitioner alleges exposure to COVID-19 in the workplace.

Accidental Injuries: Respiratory 

Petition and Order No: 20 WC 15226

Claim Amount: $4,300.00

Attorney: Gordon & Centracchio, LLC

Date of Subcommittee Approval: n/a

Prior/pending claims: 12/11/2017 ($10,000.00) 

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