File #: 23-0215    Version: 1 Name: James Bruschuk - 12/14/22
Type: Workers' Compensation Claims Status: Approved
File created: 11/18/2022 In control: Finance Committee
On agenda: 12/14/2022 Final action: 12/15/2022
Title: Employee: James Bruschuk Job Title: Electrical Equipment Technician Department: Department of Facilities Management Date of Incident: 10/31/2016 Incident/Activity: Petitioner injured his right shoulder, right hand, and back when he fell from a ladder. Accidental Injuries: Right shoulder, right hand, back Petition and Order No: 16 WC 38508 Claim Amount: $115,000.00 Attorney: MD Johnson PC Date of Subcommittee Approval: 11/15/2022 Prior/pending claims: n/a

title

Employee: James Bruschuk

Job Title: Electrical Equipment Technician

Department: Department of Facilities Management

Date of Incident: 10/31/2016

Incident/Activity: Petitioner injured his right shoulder, right hand, and back when he fell from a ladder.

Accidental Injuries: Right shoulder, right hand, back

Petition and Order No: 16 WC 38508

Claim Amount: $115,000.00

Attorney: MD Johnson PC

Date of Subcommittee Approval: 11/15/2022

Prior/pending claims: n/a

end