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***NOTE: The information being reported on is current as of the end of the business day on 07/16/2026. If a form, or information has been submitted and is not yet present on a report(s), please check back the next business day.
[   Claim Number: 800186972   ]

Claim Detail



Case:      Fuentes, Joselito vs Department of Children and Families

Injury Date: 06/04/2014     Filing District: Middletown
Injured Body Part (Primary): Back Area - Lower     Claim Status: Non-Litigated
Date of Birth:     Nature of Injury: Sprain

FormForm DescrSubmitted ByDate ReceivedStatus
36 Discontinue PaymentInsurer Contact8/7/2014Approved
VA Voluntary AgreementInsurer Contact8/6/2014Approved
1A Filing StatusInsurer Contact8/6/2014