File #: 23-0276    Version: 1 Name: Keith J. Williams - 12/14/22
Type: Workers' Compensation Claims Status: Approved
File created: 11/21/2022 In control: Finance Committee
On agenda: 12/14/2022 Final action: 12/15/2022
Title: Employee: Keith J. Williams Job Title: Correctional Officer Department: Corrections Date of Incident: 10/28/2021 and Unfiled Claim 4/6/2020 Incident/Activity: On April 6, 2020, Petitioner injured his top lip while restraining a detainee. On October 28, 2021, Petitioner injured his right foot and ankle while breaking up a fight between detainees. Accidental Injuries: Right Foot and Ankle Petition and Order No: 21 WC 30536 Claim Amount: $15,899.73 Attorney: Jose Rivero and Cullen Haskins Nicholson Date of Subcommittee Approval: N/A Prior/pending claims: N/A

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Employee: Keith J. Williams 

Job Title: Correctional Officer

Department: Corrections

Date of Incident: 10/28/2021 and Unfiled Claim 4/6/2020

Incident/Activity: On April 6, 2020, Petitioner injured his top lip while restraining a detainee. On October 28, 2021, Petitioner injured his right foot and ankle while breaking up a fight between detainees. 

Accidental Injuries: Right Foot and Ankle

Petition and Order No: 21 WC 30536

Claim Amount: $15,899.73

Attorney: Jose Rivero and Cullen Haskins Nicholson

Date of Subcommittee Approval: N/A

Prior/pending claims: N/A 

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