WORKERS COMPENSATION COMPLAINT WC COMPLAINT FILED BY MEGAN RICHARDS August 22, 2012 (2024)

WORKERS COMPENSATION COMPLAINT WC COMPLAINT FILED BY MEGAN RICHARDS August 22, 2012 (1)

WORKERS COMPENSATION COMPLAINT WC COMPLAINT FILED BY MEGAN RICHARDS August 22, 2012 (2)

  • WORKERS COMPENSATION COMPLAINT WC COMPLAINT FILED BY MEGAN RICHARDS August 22, 2012 (3)
  • WORKERS COMPENSATION COMPLAINT WC COMPLAINT FILED BY MEGAN RICHARDS August 22, 2012 (4)
  • WORKERS COMPENSATION COMPLAINT WC COMPLAINT FILED BY MEGAN RICHARDS August 22, 2012 (5)
  • WORKERS COMPENSATION COMPLAINT WC COMPLAINT FILED BY MEGAN RICHARDS August 22, 2012 (6)
  • WORKERS COMPENSATION COMPLAINT WC COMPLAINT FILED BY MEGAN RICHARDS August 22, 2012 (7)
  • WORKERS COMPENSATION COMPLAINT WC COMPLAINT FILED BY MEGAN RICHARDS August 22, 2012 (8)
  • WORKERS COMPENSATION COMPLAINT WC COMPLAINT FILED BY MEGAN RICHARDS August 22, 2012 (9)
  • WORKERS COMPENSATION COMPLAINT WC COMPLAINT FILED BY MEGAN RICHARDS August 22, 2012 (10)
 

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ELECTRONICALLY FILED COURT OF COMMON PLEAS Wed , August 22, 2012 2:17:01 PM CASE NUMBER: 2012 CV 06113 Docket ID: 17456191 GREGORY A BRUSH CLERK OF COURTS MONTGOMERY COUNTY OHIO IN THE COMMON PLEAS COURT MONTGOMERY COUNTY, OHIOLisa JohnsonPO Box 13964 Case No.Dayton, OH 45413-0964 (BWC Claim No. 10-344805) Plaintiff-Appellant (Judge )vStephen R. Buehrer, Admin.,Bureau of Workers’ Compensation30 West Spring Street WORKERS’ COMPENSATIONColumbus, OH 43215-2233 COMPLAINT WITH JURY DEMANDandCommunity Blood Center349 South Main StreetDayton, OH 45402-2715 Defendant-Appelleea L. Plaintiff states that at all times herein mentioned, she was an employee ofDefendant, Community Blood Center, and that said Defendant is duly licensed to dobusiness in the State of Ohio, and that on or about 7/29/2010, and for some time priorthereto and since, was amenable to the Workers' Compensation Act of Ohio. 22 Plaintiff alleges that at the present time, Stephen R. Buehrer is the dulyqualified Administrator of the Bureau of Workers' Compensation by virtue of the statutesof the State of Ohio.3. Plaintiff states that on or about 7/29/2010, while in the course and scope of andarising out of her employment for Defendant-Employer, Community Blood Center, shewas lifting a bandsaw and experienced pain in and injury to her right shoulder. 4. Plaintiff filed a claim with the Bureau of Workers' Compensation which wasassigned claim number 10-344805 and which recognizes the conditions(s): RightShoulder Strain. 5 On or about October 4, 2011, Plaintiff filed a Motion with the IndustrialCommission of Ohio requesting that her claim be allowed for the additional condition(s):Right Shoulder Supraspinatus and Infraspinatus Tendonopathy. 6. On April 2, 2012, Plaintiff's Motion came on for hearing before a DistrictHearing Officer who granted Plaintiff's Motion for the additional condition(s): RightShoulder Supraspinatus and Infraspinatus Tendonopathy. Defendant-Employer filed anappeal from this Order to the Staff Hearing Officer who, following hearing on May 29,2012, disallowed Plaintiff's claim for the additional condition(s): Right ShoulderSupraspinatus and Infraspinatus Tendonopathy. Plaintiff-Appellant filed an appeal to theIndustrial Commission of Ohio. On June 20, 2012, the Industrial Commission placed anorder refusing to hear Plaintiff-Appellant’s appeal. Plaintiff-Appellant filed her Notice ofAppeal with the Montgomery County Common Pleas Court.7. Plaintiff states that she suffers from: Right Shoulder Supraspinatus andInfraspinatus Tendonopathy as a result of or due to substantial aggravation by herindustrial injury of 7/29/2010. 8. The issue in this case is whether Plaintiff's Right Shoulder Supraspinatus andInfraspinatus Tendonopathy either directly resulted from or was substantially aggravatedby her industrial injury of 7/29/2010. W HEREF ORE, Plaintiff having set forth the basis of the jurisdictionof this Court over the action, prays that further proceedings be had in accordance with theCode of Civil Procedure, and asks that she be allowed to participate under the Workers’Compensation Act of Ohio for: Right Shoulder Supraspinatus and InfraspinatusTendonopathy; and for her costs herein expended and for such other relief as she may beentitled to under Sec. 4123.512 Ohio Revised Code. Respectfully sub: ed,/o/ 4 iff, By VU Vig Ved Dy Mega ich: ards, Es . (0024421) Attorney for Plaintiff Casper & Casper 3420 Atrium Blvd., Ste 160 Middletown, Ohio 45005 (513) 424-2401 (513) 433-0079 facsimile mrichards @casperlaw.comJURY DEMAND Plaintiff demands a trial by jury of eight (8). Respectfully submitted, Wf py: 2 LU yD) y| ‘hy “tp Mega ichards, Esq. (002442 1) Attorney for Plaintiff Casper & Casper 3420 Atrium Blvd., Ste 160 Middletown, Ohio 45005 (513) 424-2401 (513) 433-0079 facsimile mrichards @casperlaw.com REQUEST FOR SERVICETO THE CLERK: Please transmit by certified mail, return receipt requested, a copy of theforegoing Appeal and Workers’ Compensation Complaint with Jury Demand upon thefollowing parties all in accordance with the provisions of Sec. 4123.512 Ohio RevisedCode.Stephen R. Buehrer, Admin.,Bureau of Workers’ Compensation30 West Spring StreetColumbus, OH 43215-2233andCommunity Blood Center349 South Main StreetDayton, OH 45402-2715 ~ By Bf Megan/ hards, Esq. (0024421) Attorney for Plaintiff

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WORKERS COMPENSATION COMPLAINT WC COMPLAINT FILED BY MEGAN RICHARDS August 22, 2012 (2024)
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