Opinion

Revnew, Deborah v. Amazon.Com

  • 2016 TN WC 192
Court
Tennessee Court of Workers' Compensation Claims
Filed
Aug 19, 2016
Status
Published
On the bench
Joshua Baker
Cited by
0 cases
Authority
More cited than 12.5%

The opinion

TENNESSEE BUREAU OF WORKERS’ COMPENSATION CLAIMS

IN THE COURT OF WORKERS’ COMPENSATION CLAIMS

AT NASHVILLE

DEBORAH REVNEW ) Docket No.: 2016-06-0320

Employee, )

v. ) State File Number: 16063-2016

)

AMAZON.COM, ) Judge Joshua Davis Baker

Employer. )

and )

AMERICAN ZURICH INS., )

Carrier. )

EXPEDITED HEARING ORDER

FOR MEDICAL BENEFITS

This matter came before the Court on July 28, 2016, upon the Request for

Expedited Hearing filed by the employee, Deborah Revnew, pursuant to Tennessee Code

Annotated section 50-6-239 (2015). Ms. Revnew alleged injury from exposure to

chemicals while working for the employer, Amazon.com. The present focus of this case

is Ms. Revnew’s entitlement to medical benefits and temporary disability benefits.1 For

the reasons set forth below, the Court holds Ms. Revnew will likely succeed at a hearing

on the merits in proving her entitlement to medical benefits, and orders Amazon to

provide those benefits. Ms. Revnew failed to prove entitlement to mileage and temporary

disability benefits at this time.2

History of Claim

This case concerns injuries Ms. Revnew claims she suffered when exposed to

chemicals while working in the hazardous materials (hazmat) area of Amazon’s

1

Ms. Revnew also cited reimbursement for mileage but presented no evidence of the miles she traveled to attend

medical appointments. She attempted to present an exhibit concerning mileage but had already closed her proof.

The Court notes her failure to present evidence on this issue at the expedited hearing does not alleviate Amazon’s

duty to reimburse her for any mileage expenses owed.

2

A complete listing of exhibits and the technical record admitted at the Expedited Hearing is attached to this Order

as an appendix.

fulfillment warehouse on January 29, 2016. In her affidavit, she identified the chemicals

as lye powder, paint thinner, turpentine and gel stain.3 (Ex. 2.)

Ms. Revnew described the hazmat area as a small block building in the back of the

fulfillment center that resembled a basement on the inside. The area had a fairly low

ceiling and commercial fans circulated air from above. Shelves holding cardboard bins

lined the wall. The cardboard bins contained products sold through Amazon, and Ms.

Revnew “picked” products from the bins to fulfill orders. Ms. Revnew stated that

sometimes items in the bins leaked.

On January 29, Ms. Revnew smelled an odor in the room and left the hazmat area

to report the odor to an ambassador, an Amazon employee who worked outside the

hazmat area. Ms. Revnew suggested that the fans were increasing the odor and asked

that they be turned down. The ambassador turned the fans off, and Ms. Revnew returned

to the hazmat area.

Ms. Revnew testified her eyes began to burn and itch, but she continued to work.

After her lunch break, Elizabeth, an Amazon employee with a leadership role in the

hazmat area, removed some of the chemicals from the bins and showed them to Ms.

Revnew. Ms. Revnew said the chemicals were in “ziplock bags.” One of the bags

contained a can of turpentine that had leaked. Elizabeth removed the turpentine from the

hazmat area.

Ms. Revnew continued feeling ill: her lips started burning, she developed a

headache and her heart started racing. She returned to the area where Elizabeth got the

turpentine and discovered an open bag of lye powder, an open can of “thinner” and an

open container of “blue gel stain.” Ms. Revnew testified she had picked these items

before and was familiar with what the chemicals were. The commercial fan was blowing

down on top of the chemicals and Ms. Revnew believed this spread the odor further.

Ms. Revnew called Elizabeth over and showed her the open chemicals. She asked

Elizabeth to either remove her or the chemicals from the hazmat area. Elizabeth removed

the leaking bags of chemicals. After Elizabeth removed the chemicals, Ms. Revnew

began experiencing blurred vision and her legs became heavy. Ms. Revnew told her she

was not feeling well: she testified that her lips and eyes were burning, she felt dizzy, her

heart was racing, she felt confused and she could not see.

3

Ms. Revnew presented Material Safety Data Sheets through her testimony. (Ex. 3.) Amazon objected to their

introduction. The Court took the objection under advisement and now sustains the objection, as the documents are

irrelevant.

2

Elizabeth was standing next to a representative of AMCARE, Amazon’s in-house

employee wellness program, when Ms. Revnew reported the incident. According to Ms.

Revnew, the AMCARE representative did not say anything to her but walked back to the

area of the center where Elizabeth had previously taken the chemicals. After some time

had passed, Ms. Revnew made her way toward AMCARE. She testified she had to stop

and hold onto posts to keep from falling over. When she was about to fall over, she

encountered two coworkers who placed her on a cart and called for AMCARE.

Ms. Revnew went to AMCARE and reported her symptoms. AMCARE took her

blood pressure, which was high. Ms. Revnew left AMCARE to get some fresh air and

retrieve some beverages. When she returned, her direct supervisor had arrived, and Ms.

Revnew told her supervisor about the incident. Ms. Revnew testified she received no

treatment at AMCARE before returning to her job duties. Despite returning, she

continued to complain to her manager that she did not feel well. Ms. Revnew later

returned to AMCARE where she received some eye drops and some aspirin. Amazon

did not offer Ms. Revnew a panel or any additional treatment. She ended her shift early

and went home. She was granted paid-time-off for the uncompleted portion of her shift.

When her symptoms had not abated the following day, Ms. Revnew went to a

Carespot Clinic for assistance. (Ex. 1 at 13-15.) At Carespot, she reported being

exposed to chemicals and complained of eye itching, head and chest congestion, a

headache, dizziness, confusion, shortness of breath, a cough, burning lips and blackness

around her eyes. The Carespot provider, Dr. Michelle Cowden, assessed chemical

exposure and referred her to the emergency room for “prompt evaluation.” The

emergency room at Summit Medical Center saw Ms. Revnew the same day. The

treatment notes state “Chemical exposure” in the section designated for “Primary

Impression.” Id. at 10. Summit Medical released her the same day and told her she could

return to work on February 2, 2016. (Ex. 4.)

After returning to work on February 5, 2016, Ms. Revnew visited AMCARE

again. An Associate First Report of Injury was completed that day. (Ex. 5.) Ms.

Revnew testified that, during the visit, people from AMCARE or Amazon “interrogated”

her about the incident for over three hours. At some point toward the end of the visit,

Ms. Revnew signed a sheet asking that her case with AMCARE be closed. (Ex. 16.)

Although the sheet states that the employee is not signing it under duress, Ms. Revnew

testified the form was put in front of her face after the three hour session. She stated she

did not understand the significance of the form when she signed it and believed signing

the sheet meant only that she would no longer receive treatment through AMCARE. She

described the care she received from AMCARE as “frightful” and “inadequate,” and

consistently testified she did not receive any additional medical care from Amazon.

3

On February 20, 2016, Ms. Revnew returned to Dr. Cowden at Carespot

complaining of blurred vision, headaches and leg weakness. (Ex. 1 at 17.) Dr. Cowden

again assessed chemical exposure. She recommended treatment by a neurologist and an

ophthalmologist, and issued a note keeping Ms. Revnew off from work from the date of

the visit until March 16, 2016. Id. at 19. Ms. Revnew followed up with both an

ophthalmologist and a neurologist. Id. at 22-39.

According to the medical bills Ms. Revnew submitted, she used her private health

insurance to pay for some of her medical treatment. (Ex. 15.)4 A letter shows Amazon

declined to pay for the treatment at Summit Medical. (Ex. 6.) Additionally, through a

conversation with Amazon’s workers’ compensation insurer, Ms. Revnew learned

Amazon had not reported the claim as of March 2, 2016. (Ex. 9.) On July 7, 2016,

Amazon terminated Ms. Revnew. (Ex. 13.)

Ms. Revnew filed a Petition for Benefit Determination seeking temporary

disability and medical benefits. (T.R.1.) When the parties could not settle their dispute

through mediation, the mediator filed a Dispute Certification Notice certifying the

disputed issues for trial. (T.R. 2.) Ms. Revnew then filed a Request for Expedited

Hearing requesting that the Court review the claim file and issue an interlocutory order

without an evidentiary hearing. (T.R. 3.) Amazon objected to her request and asked for

an evidentiary hearing. (T.R. 4.) The Court granted Amazon’s request and set an

evidentiary hearing. (T.R. 5.)

At the evidentiary hearing, Ms. Revnew argued she got hurt at work and missed

time as a result of her injuries. For that reason, she argued Amazon should be required to

pay her medical bills and provide temporary disability benefits..5

Amazon argued Ms. Revnew failed to carry her burden of proving entitlement to

temporary disability and medical benefits because she failed to prove her workplace

injury resulted from chemical exposure. Specifically, Amazon argued that a test

conducted on Ms. Revnew at Summit Medical near the time of the incident detected no

4

Amazon objected to introduction of the medical bills arguing they were irrelevant because Ms. Revnew had not

shown the care provided was reasonable and necessary for treatment of a work-related injury. As Amazon failed in

its duty to provide Ms. Revnew a panel of physicians, it ran the risk of having to pay for care from physicians with

whom she privately treated if the treatment if for the work-accident. See Young v. Young Electric, No. 2015-06-

0860, 2016 TN Wrk. Comp. App. Bd. LEXIS 24 (Tenn. Workers’ Comp. App. Bd. May 25, 2016). The medical

records all list chemical exposure as an assessment of Ms. Revnew’s condition. The objection is overruled.

5

Ms. Revnew asked the Court to require Amazon to take her back on as an employee. The undersigned explained

the Court’s authority extends only to awarding workers’ compensation benefits, which do not include employment

reinstatement.

4

presence of chemicals.6 It further argued no doctor provided a sufficient opinion linking

Ms. Revnew’s condition to chemical exposure at Amazon. Finally, Amazon argued that

it declined to provide medical treatment because Ms. Revnew signed a form requesting

that her case with AMCARE be closed, indicating she needed no further medical

treatment.

Findings of Fact and Conclusions of Law

The following general principles govern adjudication of this proceeding. Ms.

Revnew has the burden of proof on all essential elements of her workers’ compensation

claim. Tindall v. Waring Park Ass’n, 725 S.W.2d 935, 937 (Tenn. 1987); Scott v.

Integrity Staffing Solutions, No. 2015-01-0055, 2015 TN Wrk. Comp. App. Bd. LEXIS

24, at *6 (Tenn. Workers’ Comp. App. Bd. Aug. 18, 2015). She need not prove every

element of her claim by a preponderance of the evidence in order to obtain relief at an

expedited hearing. McCord v. Advantage Human Resourcing, No. 2014-06-0063, 2015

TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Tenn. Workers’ Comp. App. Bd. Mar. 27,

2015). At an expedited hearing, Ms. Revnew has the burden to come forward with

sufficient evidence from which this Court can determine that she is likely to prevail at a

hearing on the merits. See Tenn. Code Ann. § 50-6-239(d)(1) (2015).

I. Ms. Revnew suffered a work-related injury.

To recover benefits, Ms. Revnew must prove she suffered an “injury” as that term

is defined by the Workers’ Compensation Law: “Injury means an injury by accident . . .

arising primarily out of and in the course and scope of employment.” Tenn. Code Ann. §

50-6-102(14) (2015). In order to be compensable as an injury by accident, the injury

must be “caused by a specific incident, or set of incidents, arising primarily out of an in

the course and scope of employment, and is identifiable by time and place of

occurrence[.]” Id. at § 50-6-102(14)(A). “An injury ‘arises primarily out of and in the

course and scope of employment’ only if it has been shown by a preponderance of the

evidence that the employment contributed more than fifty-percent (50%) in causing the

injury, considering all causes.” Id. at § 50-6-102(14)(B).

In addition to factual circumstances demonstrating injury, medical causation also

must be proven. Except in “the most obvious, simple and routine cases,” an injured

employee must establish by expert medical testimony that he or she is injured and that

there exists a causal relationship between the injury and the claimant's employment

activity. Wheetley v. State, No. M2013-01707-WC-R3-WC, 2014 Tenn. LEXIS 476

6

The Court searched the record and found results from what appeared to be a regular blood test. It found no

information concerning a specific test for chemical exposure. Furthermore, if a specific test for chemical exposure

is part of the record, Amazon failed to direct the Court to that information.

5

(Tenn. Workers’ Comp. Panel June 25, 2014) (citing Excel Polymers, LLC v. Broyles,

302 S.W.3d 268, 274 (Tenn. 2009); Cloyd v. Hartco Flooring Co., 274 S.W.3d 638, 643

(Tenn. 2008)). The cause of this injury must be shown to a reasonable degree of medical

certainty, meaning, “in the opinion of the physician, it is more likely than not considering

all causes, as opposed to speculation or possibility.” Tenn. Code Ann. § 50-6-102(13)(D)

(2015). Evidence of medical causation is not, however, required to recover medical

benefits in the context of an expedited hearing. See Lewis v. Molly Maid, No. 2015-06-

0456 TN Wrk Comp. App. Bd. 2016 LEXIS 19 (Tenn. Workers’ Comp. App. Bd. Apr.

20, 2016).

In this Court’s opinion, Ms. Revnew’s testimony that she encountered open

containers of chemicals in the hazmat area on January 29, 2016, and immediately began

experiencing severe symptoms satisfies her burden of proving the condition arose from

an incident identifiable by time and place of occurrence. See Tenn. Code Ann. § 50-6-

102(14)(A) (2015). Ms. Revnew identified the chemicals, which she knew from her

previous experiences in packing them for shipment, and testified a commercial fan was

blowing down and circulating fumes from the chemicals throughout the room.

The Court further finds the exposure incident arose primarily out of and in the

course and scope of her employment. See id. at 50-6-102(14)(B). According to her

testimony, Ms. Revnew began experiencing her symptoms during her shift at Amazon,

and there is no countervailing proof to show the chemicals were either unopened or she

was not exposed to them.

The Court finds Ms. Revnew provided credible testimony concerning the factual

circumstances that resulted in her condition. Additionally, the limited medical proof

indicates the doctors who treated her agreed chemical exposure was a concern. Although

no doctor used causation language, each assessed chemical exposure in their treatment

notes. Accordingly, the Court disagrees with Amazon’s position that there is no proof of

causation. While the causation information would not be sufficient to sustain a benefit

award at a final hearing, the diagnoses coupled with Ms. Revnew’s testimony is sufficient

to carry her burden of proof for this expedited hearing. The Court therefore holds Ms.

Revnew would likely prevail at a hearing on the merits in proving she suffered a

compensable workplace “injury” as the term is defined by the Workers’ Compensation

Law.

II. Ms. Revnew is entitled to medical benefits.

Ms. Revnew seeks medical care for her work-related injury including payment of

past medical bills. Having carried her burden of proving she would likely succeed at a

hearing on the merits in proving compensability of her injury, Amazon must provide her

reasonable and necessary medical care for its treatment. See Tenn. Code Ann. § 50-6-

6

204(a)(l)(A) (2015). Upon being provided notice of a workplace injury, the Workers’

Compensation Law requires an employer to “designate a group of three (3) or more

independent reputable physicians, surgeons, chiropractors or specialty practice groups if

available in the injured employee’s community or, if not so available, in accordance with

subdivision (a)(3)(B), from which the injured employee shall select one (1) to be the

treating physician.” Id. at 50-6-204(a)(3)(A)(i). The administrative rules governing

procedures in the Bureau of Worker’s Compensation provide, “[u]pon notice of any

workplace injury, other than a minor injury for which no person could reasonably believe

requires treatment from a physician, the employer shall immediately provide the injured

employee a panel of physicians that meets the statutory requirements for treatment of the

injury.” Tenn. Comp. R. & Regs. 0800-02-01-.25(1) (2015). Failure to provide a panel

could result in the assessment of a civil penalty of up to $5,000 against the employer.

See Tenn. Comp. R. & Regs. 0800-02-01-.25(1) (2015).

Here, Ms. Revnew provided notice of her workplace accident to Amazon on the

day it occurred. The proper thing to do at that time would have been to provide Ms.

Revnew a panel of physicians. Amazon failed to do that. While Amazon argued Ms.

Revnew demonstrated she did not want further medical treatment when she signed the

form waiving additional treatment from AMCARE, the Court does not find the argument

persuasive in light of Ms. Revnew’s testimony concerning the inadequacy of care she

received from AMCARE. Additionally, Ms. Revnew did not understand that she would

not receive care from a physician if she signed the form. In this Court’s view, Amazon

failed in its duty to provide Ms. Revnew appropriate care for her condition and then

attempted to gloss over that failure by having her sign the form.

Ms. Revnew also seeks payment for past medical expenses. The Court finds she

is entitled to them. An employer who fails to provide a medical panel runs the risk of

being required to pay the cost of treatment an employee secures on her own. See Young

v. Young Electric Co., et al., No. 2015-06-0860 2016 Tn. Wrk Comp. App. Bd. LEXIS

24, at *16-19 (Workers’ Comp. App. Bd. May 25, 2016). When Amazon failed to

provide Ms. Revnew a panel of physicians, she sought treatment on her own from Dr.

Cowden at Carespot. Dr. Cowden instructed her to go to the emergency room, and later

recommended an examination by a neurologist and an ophthalmologist. Ms. Revnew

incurred significant medical bills for this treatment and submitted the bills as an exhibit.

The Court holds Amazon must pay all the medical bills. Additionally, the Court holds

Amazon must pay for any future reasonable and necessary medical care related to her

exposure injury and appoints Dr. Cowden as the authorized treating physician.

7

III. Ms. Revnew’s claim for temporary disability benefits is denied at this

time.

Ms. Revnew additionally seeks temporary disability benefits. In Jones v. Crencor

Leasing and Sales, No. 2015-06-0332, 2015 TN Wrk. Comp. App. Bd. LEXIS 48, at *7

(Tenn. Workers’ Comp. App. Bd. Dec. 11, 2015), the Appeals Board held:

An injured worker is eligible for temporary disability benefits if: (1) the

worker became disabled from working due to a compensable injury; (2)

there is a causal connection between the injury and the inability to work;

and (3) the worker established the duration of the period of disability.

Simpson v. Satterfield, 564 S.W.2d 953, 955 (Tenn. 1978).

Until these criteria are established, the Court cannot grant temporary disability benefits.

Ms. Revnew failed to carry her burden of proving entitlement to those benefits because

she failed to establish the period of time she was off work as a result of the chemical

exposure injury. The record contains a note from Dr. Cowden taking Ms. Revnew off

work from February 20 through March 16, 2016. Although the note excused Ms.

Revnew from work, the Court heard no testimony concerning the number of days she

actually missed. Because Ms. Revnew failed to present evidence concerning the amount

of work she missed, the Court denies her claim for temporary disability benefits at this

time.

IT IS, THEREFORE, ORDERED as follows:

1. Amazon shall provide Ms. Revnew medical care with the authorized treating

physician, Dr. Cowden.

2. Amazon shall pay all the past medical expenses Ms. Revnew incurred in getting

treatment for her exposure injury which includes the medical bills of Dr. Cowden,

Summit Medical Center, Dr. Zhou, Middle Tennessee Imaging and Summit Eye

Associates.

3. Ms. Revnew’s request for temporary disability benefits is denied at this time.

4. This matter is set for an Initial (Scheduling) Hearing on September 19, 2016, at

9:30 a.m. (CDT).

5. Unless interlocutory appeal of the Expedited Hearing Order is filed, compliance

with this Order must occur no later than seven business days from the date of entry

of this Order as required by Tennessee Code Annotated section 50-6-239(d)(3)

(2015). The Insurer or Self-Insured Employer must submit confirmation of

8

compliance with this Order to the Bureau by email to

WCCompliance.Program@tn.gov no later than the seventh business day after

entry of this Order. Failure to submit the necessary confirmation within the period

of compliance may result in a penalty assessment for non-compliance.

6. For questions regarding compliance, please contact the Workers’ Compensation

Compliance Unit via email WCCompliance.Program@tn.gov or by calling (615)

253-1471.

ENTERED ON THIS THE 19TH DAY OF AUGUST, 2016.

_____________________________________

Judge Joshua Davis Baker

Court of Workers’ Compensation Claims

Initial Hearing:

An Initial (Scheduling) Hearing has been sent for September 19, 2016, at 9:30 a.m.

Central Time with Judge Joshua Davis Baker, Court of Workers’ Compensation

Claims. You must call 615-741-2113 or toll free at 855-874-0474 to participate in the

Initial Hearing.

Please Note: You must call in on the scheduled date/time to participate. Failure to

call in may result in a determination of the issues without your further

participation. All conferences are set using Central Time (CT).

Right to Appeal:

Tennessee Law allows any party who disagrees with this Expedited Hearing Order

to appeal the decision to the Workers’ Compensation Appeals Board. To file a Notice of

Appeal, you must:

1. Complete the enclosed form entitled: “Expedited Hearing Notice of Appeal.”

2. File the completed form with the Court Clerk within seven business days of the

date the Workers’ Compensation Judge entered the Expedited Hearing Order.

9

3. Serve a copy of the Expedited Hearing Notice of Appeal upon the opposing party.

4. The appealing party is responsible for payment of a filing fee in the amount of

$75.000. Within ten calendar days after the filing of a notice of appeal, payment

must be received by check, money order, or credit card payment. Payments can be

made in person at any Bureau office or by United States mail, hand-delivery, or

other delivery service. In the alternative, the appealing party may file an Affidavit

of Indigency, on a form prescribed by the Bureau, seeking a waiver of the filing

fee. The Affidavit of Indigency may be filed contemporaneously with the Notice

of Appeal or must be filed within ten calendar days thereafter. The Appeals Board

will consider the Affidavit of Indigency and issue an Order granting or denying

the request for a waiver of the filing fee as soon thereafter as is practicable.

Failure to timely pay the filing fee or file the Affidavit of Indigency in

accordance with this section shall result in dismissal of the appeal.

5. The parties, having the responsibility of ensuring a complete record on appeal,

may request, from the Court Clerk, the audio recording of the hearing for the

purpose of having a transcript prepared by a licensed court reporter and filing it

with the Court Clerk within ten calendar days of the filing of the Expedited

Hearing Notice of Appeal. Alternatively, the parties may file a joint statement of

the evidence within ten calendar days of the filing of the Expedited Hearing

Notice of Appeal. The statement of the evidence must convey a complete and

accurate account of what transpired in the Court of Workers’ Compensation

Claims and must be approved by the workers’ compensation judge before the

record is submitted to the clerk of the Appeals Board.

6. If the appellant elects to file a position statement in support of the interlocutory

appeal, the appellant shall file such position statement with the Court Clerk within

five business days of the expiration of the time to file a transcript or statement of

the evidence, specifying the issues presented for review and including any

argument in support thereof. A party opposing the appeal shall file a response, if

any, with the Court Clerk within five business days of the filing of the appellant’s

position statement. All position statements pertaining to an appeal of an

interlocutory order should include: (1) a statement summarizing the facts of the

case from the evidence admitted during the expedited hearing; (2) a statement

summarizing the disposition of the case as a result of the expedited hearing; (3) a

statement of the issue(s) presented for review; and (4) an argument, citing

appropriate statutes, case law, or other authority.

10

APPENDIX

Exhibits:

1. Medical Records

2. Affidavit

3. Material Safety Data Sheets – for identification purposes only

4. Fax cover sheet and attached LOAA (2 pgs.) – dated February 3, 2016

5. Associate First Report of Injury dated February 5, 2016 (4 pgs.)

6. Convergent letter dated February 15, 2016

7. Fax cover/Michelle Cowden dated February 24, 2016

8. Claim Status Summary dated March 3, 2016

9. Recording/CD of telephone conversation

10. Email sent to Amazon Human Resources March 3, 2016

11. Helios Pharmacy Benefits notification

12. Denial letter for Short Term Disability dated April 14, 2016

13. Amazon Termination letter

14. Michelle Cowden addendum February 28, 2016

15. Medical bills

16. AMCARE Case Closure Request form

Technical Record:

1. Petition for Benefit Determination

2. Dispute Certification Notice

3. Request for Expedited Hearing

4. Objection to Request for Expedited Hearing – file review only

5. Order granting evidentiary hearing request

6. Ms. Revnew’s Witness and Exhibit List

7. Amazon’s Witness and Exhibit List

8. Amazon’s Prehearing Brief

The Court did not consider attachments to Technical Record filings unless

admitted into evidence during the Compensation Hearing. The Court considered factual

statements in these filings or any attachments to them as allegations unless established by

the evidence.

11

CERTIFICATE OF SERVICE

I hereby certify that a true and correct copy of the foregoing was sent to the

following recipients by the following methods of service on this the 19

___th day of August,

2016.

Name Certified Via Via Service sent to:

Mail Fax Email

Deborah Revnew x 198 Peace Ave.

Lebanon, TN 37087

Charles E. Pierce x cepierce@mijs.com

_____________________________________

Penny Shrum, Clerk

Court of Workers' Compensation Claims

WC.CourtClerk@tn.gov

12

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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