Ii. [§ 14.6] Workers' Compensation Appeal

JurisdictionMaryland

II. [§ 14.6] WORKERS' COMPENSATION APPEAL

John J. Smith, an employee of George Harris, Inc., was injured on the job when molten iron from a blast furnace he was loading with iron ingots splashed onto his right arm and leg. Smith had been assigned by his supervisor to work Furnace No. 1 and was loading iron into the furnace when the conveyor belt malfunctioned, dumping a large quantity of ingots into the molten iron and splashing Smith. Despite a doctor's report finding 30% disability to Smith's right leg and 10% disability to his right arm, the Commission ordered compensation based on a 10% loss of use of the right leg. Believing the Commission to have erred, Smith appealed the decision.

Smith's Appeal Petition is set out on the following pages.

JOHN J. SMITH 2001 Space Odyssey Way Baltimore, Maryland 21201 Claimant/Petitioner

v.

JONES AND BOND INSURANCE CO. 3 Crusade St., 7th Floor Indianapolis, IN 46203 Insurer/Respondent

AND

GEORGE HARRIS, INC. 1979 Oriole Place Baltimore, Maryland 21202 Employer/Insured

IN THE CIRCUIT COURT FOR HARFORD COUNTY

CASE NO.:
TO BE ASSIGNED

ACTION FOR JUDICIAL REVIEW of Workers' Compensation Commission Claim
No. B492326

PETITION FOR JUDICIAL REVIEW

Petitioner, John J. Smith, by his attorneys, Siobhan P. Walsh and Walsh & Walsh, P.A, and hereby petition this Honorable Court for judicial review of the decision of the Maryland Workers' Compensation Commission dated [insert date of hearing], which erroneously awarded the...

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