Harvey Bennett

Case number ADJ8778229

Employers filed against:

• St. Louis Blues

Injuries claimed:

• HEAD - multiple injury (any combination of above parts)
• UPPER EXTREMITIES - multiple parts (any combination of above parts)
• TRUNK - use for side; multiple parts (any combination of above parts)
• LOWER 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