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[   Claim Number: 300135865   ]

Claim Detail



Case:      Cooper, Dakota vs Reilly Green Mountain Platform Tennis Courts

Injury Date: 08/01/2023     Filing District: New Haven
Injured Body Part (Primary): Finger(s)     Claim Status: Litigated
Date of Birth:     Nature of Injury: Electric Shock


Forms Filed
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Hearings
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Interested Parties to Claim
Party TypeNameAddress Line 1Address Line 2CityStateZip CodePhoneFax
Claimant Dakota Cooper        
. . . Claimant's Rep . . . Levy, Leff & DeFrank, Attorneys at Law 195 Church Street 14th Floor New Haven CT06510- (203) 777-6887(203) 776-9448
Employer Reilly Green Mountain Platform Tennis Courts 300 Boston Post Road  Orange CT06477-   
. . . Insurer Contact . . . Selective Insurance Company of America PO Box 7252 London KY40742- (800) 777-9656(877) 352-6860
. . . . . . Insurer's Rep . . . . . . Montstream Law Group, LLP 175 Capital Boulevard, Suite 204  Rocky Hill CT06067- (860) 659-1341(860) 657-8519