File #: 23-0200    Version: 1 Name: John Colby - 12/14/22
Type: Workers' Compensation Claims Status: Approved
File created: 11/28/2022 In control: Finance Committee
On agenda: 12/14/2022 Final action: 12/15/2022
Title: Employee: John Colby Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 12-13-2020 Incident/Activity: On December 13, 2020, Petitioner injured his left shoulder and back when he was attempting to restrain a combative detainee. Accidental Injuries: Left shoulder impingement, cervical herniation Petition and Order No: 20 WC 031336 Claim Amount: $26,050.69 Attorney: Whiteside & Goldberg Date of Subcommittee Approval: 11-15-2022 Prior/pending claims: 16 WC 18311 ($24,069.60); 19 WC 19454 ($4,507.60)

title

Employee: John Colby

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 12-13-2020

Incident/Activity: On December 13, 2020, Petitioner injured his left shoulder and back when he was attempting to restrain a combative detainee. 

Accidental Injuries: Left shoulder impingement, cervical herniation 

Petition and Order No: 20 WC 031336

Claim Amount: $26,050.69

Attorney: Whiteside & Goldberg

Date of Subcommittee Approval: 11-15-2022

Prior/pending claims: 16 WC 18311 ($24,069.60); 19 WC 19454 ($4,507.60)

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