Document x198m2Odep43NypEgZnKL0MJ1

FILE NAME Mundet Cork MCK DATE 1960 DOC MCK116 DOCUMENT DESCRIPTION WC Claim of Dean Oye ASBESTOSA ASBESTOSA ASBESTOSA CLAIM Armstrong Contracting and Supply Corporation Workmen's CompensatioClanin William Dean September 27 1960 The attached Notice of Hearing was received in this office late in the afternoo of September 26. The hearing was scheduled for 11:00 AM on September 28 at the Workmen's Compensation Board 50 Park Place New York City From the in- formation available on the notice it was almost impossible to determine the the hearing concorned determination of disability under the Workmen's Compensat Law or under the State Disability Benefits Lav The date of the accident shown February 7 1955 but our records failed to show any accident to a William Dean _ Payroll reported the employment of a William D. Dean working out of the Atlanta office in 1947. It seemed improbable that this employee was the one in questio Payroll also reported a W. Dean employed in New York State between June 15 and October 2 1959. In view of the date of accident it seemed improbable that th individual could be the one in question Being unable to identify this acciden in any rospect I called the Workmen's Compensation Board and requested infor- mation on it After identifying myself at least six times I finally talked to the individual responsible for this particular case I was advised that Willle by Dean dieodn December officially designated 1959 and the date of February 7 1955 was the data the Board as the date for comencement of disability The deceased died of It was at the hearing held in September 1959 that the referes directed that Armstrong Cork Company and two others be brought into any further proceedings on the case Why vaba did not receive a copy of t directiva I do not know The individual I conferred with at the Board was able to furnish we with the social security number of the doceased and we were th- able to identify him as being employed by AC from June 15 to October 2 1959 The social security number of the deceased is 097-03-2001 Since the hearing to be held on September 28 involved apportionment to prior employers it was essential that AC be represented Payroll furnished us with the dates of employment gross earnings and total br worked by contract number for Willian Dean These contracts were then identif Be to customer job and type of work performed In each instance the decess worked as an asbestos worker One of the contracts 231955 was excluded ' from Travelers Workmen's Compensation Policy since this insurance was provided by customer The customer however placed the insurance with The Travelers so T. in concer con nceernd ed with all four contracts Dean is attached The employment record of Hill Since The Travelers was not listed as receiving a copy ofthe Notice of Hearin I called the New York Office of The Travelers to inquire of they had received official notification The gentleman I talked to was Mr. R. Eakberg of the Workmen's Compensation Claims Section and although he personally did not have the nocess to their file on this claim he knew that to individual responsible in. the hearing in our behalf This being the case he said it was unnecessary to send a copy of the Notice of Hearing or the individual's employ record at this time PLAINTIFF EXHIBIT INT CCS 5156 Hofferth CLAIMANT I - - 0 522373 06008650 0581605 W.$ CASE NO GARNIER CODE STATE OF NEW YORK WORKMEN'S COMPEnsation board DILC WORKMEN'S PARK PLACE NEW YORK 7 N. Y. . gb Willi Dena DICE 2/7/55 DATE OF ACCIDENT 3C + 37 CD 8 IMPORTANT CANNIER CASE NO und CLAIMANT Mery Doan _ ADDRESS 61 0W7oodside Woo Woodside Woodside Avenue 16.469 MAMEI EMPLOYER Tentmere Aste shos Co. _ NOTICE OF HEARING PLACE 50 PARK PLACE NEW YORK Y. | DATE Sept.28,1960 Sept.28,1960 ADDRESS 27 1k6oth ave L.I.C. X.Y TIME 12:00 A.M. PART 30 Lumbarman's Lumbarman's Lumbarman's Hut.Ime.Co. Markhoff.km CLAIMANT Spee.PundSspee.Punds Cams Cama 200 Rast 4288 # Z.ZC .C A. Markhoff.kMarkhmof .km oe - ~ 101 N.1.0 CLAIMANT AND CARRIER SHOULD BE PRESENT AT HEARING AND PRODUCE NECESSARY EVIDENCE INDICATED BELOW OTHERWISE THE REFEREE MAY Nunity Cork Corp. 7101 Teapell Ave. CLOSE CASE ON EVIDENCE IN FILE 5o,Uorgen .as3Ave. ^rustrongCark Co. <9- Forth Note Only llems indicated by an X below apply to this hearing Se aS r Ssr Sere Belich Co. TO HE^ RTestBHY HE^ RTestBHYON er PURPOSE OF HEARING wae eo reae ee TO HAVE CLAIMANT EXAMINED BY STATE PHYSICIAN FOR bead / 7 2 7 2 7 a rs Cj Period and extent of disability Accident Notice to employer Coural relationship of accident to injury Rate of compensation rj Disability Facial aFacial disfigurement disfigurement [| Final Adjustmani Cj Loss of earnings im * Further consideration CJ Operation or Treatment DISABILITY CLAIN ee BY CLAIMANTI EVIDENCE TO BE PRODUCED C] Latest medical report from own physician C) BY EMPLOYER OR CARRIER C] Record at earnings since accident oa {"} Medical reports } Rayt Hospital records ate... gt Payroll of claimant Cc C Final medical report TJ 11 Noticoef injured person's return to work C} C Employer's first inj ofu inr juy ry rl Payroll of similar worker Dated 9/13/60 Rea ARC 16a 01mm a CLANAANT BRING THIS NOTICE WITH YOU READ IMPORTANT ON REVERSE SIDE INFORMATION Chakemen