[ Claim Number:
300109535 ]
Claim Detail
Case:
Wray, Dennis vs Fleet Pride
| Injury Date: |
10/02/2014 |
|
Filing District: |
New Haven |
| Injured Body Part (Primary): |
Back Area - Lower |
|
Claim Status: |
Closed |
| Date of Birth: |
|
|
Nature of Injury: |
Strain |
| Form | Form Descr | Submitted By | Date Received | Status |
| STP | Stipulation | Claimant's Rep | 8/30/2018 | Approved |
| HR | Hearing Request | Other | 8/13/2018 | |
| HR | Hearing Request | Claimant's Rep | 5/30/2018 | |
| HR | Hearing Request | Commissioner | 3/20/2018 | |
| HR | Hearing Request | Claimant's Rep | 1/30/2018 | |
| MED | Medical Report (incl. Form 42) | Insurer's Rep | 8/14/2017 | |
| HR | Hearing Request | Claimant's Rep | 5/22/2017 | |
| 36 | Discontinue Payment | Insurer Contact | 5/15/2017 | Contested |
| HR | Hearing Request | Commissioner | 10/27/2016 | |
| HR | Hearing Request | Claimant's Rep | 9/12/2016 | |
| HR | Hearing Request | Commissioner | 9/4/2015 | |
| HR | Hearing Request | Claimant's Rep | 7/31/2015 | |
| HR | Hearing Request | Commissioner | 6/8/2015 | |
| HR | Hearing Request | Claimant's Rep | 5/26/2015 | |
| MNC | Miscellaneous Notice of Claim | Claimant | 5/26/2015 | |
| FRI | First Report of Injury | Insurer Contact | 10/7/2014 | |