Mike LaCoss

Case number ADJ8171421

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
02/11/2013	PETITION: DOR Filed - Status
12/13/2011	PETITION: APPLICATION FOR ADJUDICATION FILED