Jim Gott

Case number ADJ2207373

Employers filed against:

Injuries claimed:

HEAD - multiple injury (any combination of above parts)
TRUNK - use for side; multiple parts (any combination of above parts)
MULTIPLE PARTS (more than five major parts) (use only in fifth position of listing of body parts)
BODY SYSTEM - not specific

Case events

Date	Description
02/25/1997	CLOSING ORDER: DISMISSAL OF CLAIM
12/12/1996	CLOSING ORDER: DISMISSAL OF CLAIM
10/04/1996	PETITION: APPLICATION FOR ADJUDICATION FILED
10/01/1996	PETITION: APPLICATION FOR ADJUDICATION FILED