Pol:
5878021115
Ins:
Acme Manufacturing
Clmt:
Chris Clutz
DoL:
11/19/2025
DoR:
11/19/2025
Adj:
Carl Norris (Foundation - US)
Summary
Basics
Open
1%
1 day (Target: 45)
Work Status
Unknown
3-Point Contact
Financials
No Data
Gross Incurred
$0.00
Paid
$0.00
High-Risk Indicators
Subrogation: In Review
Loss Date
11/19/2025 8:45 AM
Notice Date
11/19/2025
Coverage Form
Occurrence (Default)
Loss Location
1 Main Street, Commerce City, CO 80022
Description
Employee's hand and arm got caught in machinery.
Exposures
#
Type
Coverage
Claimant
Adjuster
Remaining Reserves
Paid
1
Medical Details
Statutory Workers' Comp
Chris Clutz
Carl Norris
-
-
Planned Activities
Due
Priority
Subject
Assigned To
11/20/2025
Urgent
3-point contact - Employer
Carl Norris
11/20/2025
Urgent
3-point contact - Employee
Carl Norris
11/20/2025
Urgent
3-point contact - Medical Provider
Carl Norris
11/26/2025
High
Determine compensability
Carl Norris
11/22/2025
Normal
Missing Class Code
Carl Norris
11/26/2025
Normal
Get initial medical report
Carl Norris
Litigation
Name
Case Number
Final Settlement
Trial Date
No data to display
Associated Claims
Association
Claims
Type
No data to display
Additional Policies for Account
Policy Number
Policy Type
Effective Date
Expiration Date
No data to display
Latest Notes
No data to display
Parties Involved
Name
Roles
Phone
Acme Manufacturing
Insured
Chris Clutz
Claimant
Denton Davidson
Reporter, Main Contact, Agent