Jean-Francois Fortin

Case number ADJ8814114

Employers filed against:

• Washington Capitals

Injuries claimed:

• HEAD - not specified
• HEAD - multiple injury (any combination of above parts)
• UPPER EXTREMITIES - not specified
• UPPER EXTREMITIES - multiple parts (any combination of above parts)
• MULTIPLE PARTS (more than five major parts) (use only in fifth position of listing of body parts)

Case events