Patrick Surtain

Case number ADJ7724531

Employers filed against:

Injuries claimed:

BRAIN
FACE - multiple parts (any combination of above parts)
HEAD - multiple injury (any combination of above parts)
NECK
MULTIPLE PARTS (more than five major parts) (use only in fifth position of listing of body parts)

Case events

Date	Description
05/10/2013	PETITION: DOR Filed - MSC
03/14/2011	PETITION: APPLICATION FOR ADJUDICATION FILED