File #: 23-0218    Version: 1 Name: David Evans - 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: David Evans Job Title: Correctional Officer Department: Department of Corrections Date of Incident: 12/16/2015 Incident/Activity: Petitioner injured his left shoulder, ribs, lumbar spine and left knee during an altercation with a detainee Accidental Injuries: Left shoulder, ribs, lumbar spine, left knee Petition and Order No: 16 WC 01893 Claim Amount: $7,544.53 Attorney: Dworkin & Maciariello Date of Subcommittee Approval: n/a Prior/pending claims: n/a

title

Employee: David Evans

Job Title: Correctional Officer

Department: Department of Corrections

Date of Incident: 12/16/2015

Incident/Activity: Petitioner injured his left shoulder, ribs, lumbar spine and left knee during an altercation with a detainee

Accidental Injuries: Left shoulder, ribs, lumbar spine, left knee 

Petition and Order No: 16 WC 01893

Claim Amount: $7,544.53

Attorney: Dworkin & Maciariello

Date of Subcommittee Approval: n/a

Prior/pending claims: n/a 

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