[ Claim Number:
300124985 ]
Claim Detail
Case:
Levin, Brian vs Plymouth Glass & Mirror, Inc.
| Injury Date: |
10/25/2019 |
|
Filing District: |
New Haven |
| Injured Body Part (Primary): |
Foot |
|
Claim Status: |
Closed |
| Date of Birth: |
|
|
Nature of Injury: |
All Other Specific Injury, NOC |
| Form | Form Descr | Submitted By | Date Received | Status |
| HR | Hearing Request | Claimant's Rep | 4/27/2022 | |
| STP | Stipulation | Claimant's Rep | 4/27/2022 | Approved |
| HR | Hearing Request | Judge | 3/1/2022 | |
| HR | Hearing Request | Judge | 1/6/2022 | |
| HR | Hearing Request | Judge | 11/12/2021 | |
| HR | Hearing Request | Commissioner | 9/16/2021 | |
| LIEN | Notice of Lien | Other | 9/9/2021 | Resolved |
| 36 | Discontinue Payment | Insurer Contact | 9/7/2021 | Approved |
| HR | Hearing Request | Commissioner | 5/27/2021 | |
| 36 | Discontinue Payment | Insurer Contact | 5/14/2021 | Contested |
| 36 | Discontinue Payment | Insurer Contact | 5/14/2021 | Denied |
| HR | Hearing Request | Commissioner | 3/16/2021 | |
| 36 | Discontinue Payment | Insurer Contact | 3/10/2021 | Denied |
| HR | Hearing Request | Commissioner | 1/15/2021 | |
| HR | Hearing Request | Claimant's Rep | 11/12/2020 | |
| 36 | Discontinue Payment | Insurer Contact | 11/7/2020 | Contested |
| HR | Hearing Request | Commissioner | 10/22/2020 | |
| HR | Hearing Request | Commissioner | 9/21/2020 | |
| HR | Hearing Request | Commissioner | 8/27/2020 | |
| NOA | Notice of Appearance | Hrg Contact Rep | 8/12/2020 | |
| HR | Hearing Request | Claimant's Rep | 8/10/2020 | |
| 43 | Denial | Insurer Contact | 7/27/2020 | |
| 43 | Denial | Insurer Contact | 7/24/2020 | |
| 43 | Denial | Hrg Contact Rep | 7/13/2020 | |
| 43 | Denial | Insurer Contact | 7/9/2020 | |
| NOA | Notice of Appearance | Claimant's Rep | 7/6/2020 | |
| NOA | Notice of Appearance | Hrg Contact Rep | 6/29/2020 | |
| 43 | Denial | Insurer Contact | 6/29/2020 | |
| NOA | Notice of Appearance | Claimant's Rep | 6/19/2020 | |
| 30C | Notice of Claim | Claimant's Rep | 6/19/2020 | |
| NOA | Notice of Appearance | Claimant's Rep | 6/19/2020 | |
| 30C | Notice of Claim | Claimant's Rep | 6/19/2020 | |
| 36 | Discontinue Payment | Insurer Contact | 2/20/2020 | Approved |
| FRI | First Report of Injury | Insurer Contact | 10/29/2019 | |