Free Statement - District Court of Arizona - Arizona


File Size: 15.7 kB
Pages: 4
Date: January 13, 2006
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 608 Words, 3,939 Characters
Page Size: Letter (8 1/2" x 11")
URL

https://www.findforms.com/pdf_files/azd/35548/167-2.pdf

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DONALD CHAPMAN v. U.S. POSTAL SERVICE CIV-03-2537-PHX-DGC Defendant's Exhibits To Statement of Facts No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 EXHIBIT V.A. Disability Compensation (6/16/76) EEOC File (Case No. 1F853-0016-03) Medical report from Kent Pomeroy, M.D. re: MVA (4/8/91) Medical record of Dr. Fountain (2/28/91) Letter prepared by Joseph De Bruin, D.C. (4/3/91) VA medical record (10/22/93) VA medical record (10/27/93) VA medical record (10/29/93) Referral to USPS Injury Compensation Office (4/7/95) Employee Change of Craft Request (8/17/95) Note from Plaintiff Requesting Light Duty (5/17/96) VA medical record (11/17/99) Supervisor Light Duty Form (11/19/99) USPS request for Additional Information on Light Duty VA medical record (3/15/00) Request for Light Duty extended by USPS until 6/16/00 Referral to Marc Letellier, M.D., neurosurgeon and restrictions imposed by Dr. Steinke (6/6/00) Dr. Steinke restrictions (6/8/00) Report from Dr. Letellier (6/21/00) Operative Report (7/10/00) Dr. Letellier report ( 8/29/00)

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CHAPMAN v. U.S. POSTAL SERVICE CIV-03-2537-PHX-DGC Defendant's Exhibits To Statement of Facts

No. 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41

EXHIBIT Request from Lewis & Roca to Dr. Steinke Non-occupational Injury/Illness Return to Work or Request for Light Duty Interview Form (9/15/00) Statement of Plaintiff (9/25/00) Deposition of Hiram Johnson Plaintiff's Request for Permanent Light Duty (9/24/00) USPS Denial of Light Duty Request (9/28/00) Letter from Plaintiff to Dr. Letellier (10/7/00) EEO File 1E-853-0012-01 Nomination for Reasonable Accommodation Consideration (1/6/01) Letter notifying Plaintiff of District Reasonable Accommodation Committee Meeting (1/19/01) District Reasonable Accommodation Committee Meeting (1/25/01) Letter from Kirk Lenertz (2/9/01) Union Request to Dr. Letellier Consultation report of Arnold Calica, M.D. (2/23/01 ) Report of David Bliklen, M.D. (5/14/01) Functional Capacity Evaluation (11/14/01 & 11/15/01) Progress Note of Glen Halvorson, M.D. & John Porter (12/18/01 ) Notice of Proposed Separation-Disability (1/16/02) Report of John C. Porter (1/28/02) CA-2 Claim filed (2/13/02)

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CHAPMAN v. U.S. POSTAL SERVICE CIV-03-2537-PHX-DGC Defendant's Exhibits To Statement of Facts

No. 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61

EXHIBIT MVA report completed by Johnny Camou, USPS Supervisor for CA-2 Form (2/20/02) Letter from Yvonne Pearson to U.S. Labor Dept. (2/25/02) Deposition of Yvonne Pearson Inquiry letter from Employment Standards of Administration to Plaintiff (3/14/02) Denial letter from K. Jones of Employment Standard Administration to Plaintiff (4/30/02) Denial Letter from USPS to Plaintiff (5/7/02) Petition for Protective Order filed by Aracelis Chapman (5/28/02) Letter of Separation-Disability (6/17/02) Revised letter of Decision sent to Plaintiff (6/18/02) Letter from Mark Garcia to Senior Plant Manager (9/26/02) Letter of Decision (10/1/02) Medical report of John C. Porter (10/10/02) Transcript of Appeal Hearing (10/24/02) Decision of The Hearing Representative (12/26/02) DUI record (7/22/03) Case Summary from Claims Examiner (9/14/005) Claim Compensation Forms Deposition of Plaintiff Transcript of Psychiatric Evaluation Affidavit of Laurel Allen

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CHAPMAN v. U.S. POSTAL SERVICE CIV-03-2537-PHX-DGC Defendant's Exhibits To Statement of Facts

No. 62 63 64 65 66 67

EXHIBIT Deposition of Paul Harris Plaintiff's Answers to Interrogatories Deposition of Plaintiff EEO File #4E-852-0050-03 Declaration of Yvonne Pearson Booklet: Questions & Answers About Federal Employees' Compensation Act

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