- Are any benefits awarded herein? Yes
- Was the injury or occupational disease compensable under Chapter 287? Yes
- Was there an accident or incident of occupational disease under the Law? Yes
- Date of accident or onset of occupational disease? On or about August 7, 2007
- State location where accident occurred or occupational disease contracted: St. Francois County, Missouri
- Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes
- Did employer receive proper notice? Yes
- Did accident or occupational disease arise out of and in the course of the employment? Yes
- Was claim for compensation filed within time required by law? Yes
- Was employer insured by above insurer? Yes
- Describe work employee was doing and how accident happened or occupational disease contracted: Repetitive motion with right lower extremity
- Did accident or occupational disease cause death? No
- Parts of body injured by accident or occupational disease: Right foot and ankle
- Nature and extent of any permanent disability: 7.5 % of the right foot and ankle at the 155 week level.
- Compensation paid to date for temporary total disability: None
- Value necessary medical aid paid to date by employer-insurer: $\ 120.00
- Value necessary medical aid not furnished by employer-insurer: $\ 1,975.00
- Employee's average weekly wage: $\ 405.60
- Weekly compensation rate: $\ 270.37
- Method wages computation: By agreement
- Amount of compensation payable: Previously incurred medical $\ 1,975.00
Temporary total disability $\ 1,429.10
Permanent partial disability $\underline{\$ 3,143.05}
Total \ 6,547.15
- Second Injury Fund liability: Denied
- Future requirements awarded: None
Said payments shall be payable as provided in the findings of fact and rulings of law, and shall be subject to modification and review as provided by law.
The Compensation awarded to the claimant shall be subject to a lien in the amount of 25 % of all payments hereunder in favor of the following attorney for necessary legal services rendered to the claimant: Kenneth Seufert