[   Claim Number:
800215670   ]
Claim Detail
Case:     
Highsmith, Dario vs Department of Children and Families
| Injury Date: |
01/18/2022 |
    |
Filing District: |
Middletown |
| Injured Body Part (Primary): |
Shoulder(s) |
    |
Claim Status: |
Non-Litigated |
| Date of Birth: |
|
    |
Nature of Injury: |
Strain |
| Form | Form Descr | Submitted By | Date Received | Status |
| VA | Voluntary Agreement | Insurer Contact | 9/20/2024 | Approved |
| 36 | Discontinue Payment | Insurer Contact | 12/15/2023 | Approved |
| 36 | Discontinue Payment | Insurer Contact | 6/1/2023 | Approved |
| VA | Voluntary Agreement | Insurer Contact | 7/13/2022 | Approved |
| 1A | Filing Status | Insurer Contact | 7/13/2022 | |
| 36 | Discontinue Payment | Insurer Contact | 6/30/2022 | Approved |
| FRI | First Report of Injury | Insurer Contact | 1/20/2022 | |