Catastrophic Leave

Overview

Catastrophic Leave
Members in need

Member Name: Bradley Bygd
Department: Department of Food and Agriculture
Reason: Bradley has exhausted all his leave credits while off work due to treatments for cancer.  If you are able to donate any time it would be appreciated. 
Human Resources Contact: Click here to download and complete the form if you work for DFA and forward it to your HR Specialist.  If you work outside DFA, please contact your Department HR Specialist for the proper procedure.  Questions on the process can be addressed to kristy.hernandez@cdfa.ca.gov

Member Name: Sandra Mae Bloom “Sandy”
Department: CDCR CCHCS
Reason: After going through cancer treatment earlier in the year and using most of her leave credits, Sandy recently broke her arm and is off work again.  She needs donations to get her through until she can return to work again.
Human Resources Contact: If you would like to donate leave time click here to download and complete the CDC 869 form and turn it in to the HR Department at your agency. 

Member Name: Stephanie Shepard
Department: CDCR DJJ
Reason: Stephanie has been off work since November 2015 and is not scheduled to return to work until March of this year.  She has exhausted all leave credits and is asking for donations to the Catastrophic Time Bank established for her by her department
Human Resources Contact: ​If you would like to donate leave time click here to download and complete the catastrophic leave form and send to Adalia Salazar at adalia.salazar@cdcr.ca.gov

Member Name: Jennie Montoya
Department: CHP, Sacramento
Reason: Jennie was diagnosed with Cushing ’s disease last year and had to have brain surgery last February. She’s been off work since then.  She has used all leave credits and her state disability has run out.  She is scheduled to return to work the end of February 2017 but needs our help to get her through until then.
Human Resources Contact: If you would like to donate leave time click here to download and complete the catastrophic leave form and contact
Shane Kennedy
(916) 843.4140 – ask for support services

Member Name: Mark Levingston
Department: Department of Social Services
Reason: With recent cancer surgery, Mark, a long-time DLC 768 Senior Job Steward, is expected to be off work for 4 to 5 weeks and needs our help with leave donations to cover some of that time off.
Human Resources Contact: If you would like to donate leave time click here to download and complete the catastrophic leave form and email to david.ly@dss.ca.gov or mail to:
744 P Street, MS 8-15-58
Sacramento, CA 95814 

Member Name: Janita Rembert-Austell
Department: Department of Justice, Los Angeles DLC 721
Reason: An ongoing medical condition has forced Janita to be off work for some time.  She exhausted her leave credits in the month of August and is asking her Union brothers and sisters to help her out. Janita gives selflessly of her time and expertise to help out anyone at her worksite in her role as Steward.  She is kind, responsive and supportive of all. 
Human Resources Contact: If you would like to donate leave time click here to download and complete the catastrophic leave donation form and mail to:
ATTN: Mariam Konieczny
DOJ
1301 I Street, Suite 125
P. O. Box 944255
Sacramento, CA 94244-2550

Member Name: Marquisha Cilenti
Department: Dept. of General Services Office of Administrative Hearings Sacramento
Reason: High risk pregnancy requires limited work schedule to preserve the health of our member and her unborn child. Marquisha is due on Thanksgiving.
Human Resources Contact: If you would like to donate leave time click here to download and complete the catastrophic leave donation form and return to your attendance clerk. Non DGS Employees, contact your Human Resources Department for interagency Donation process. 

Member Name: David Bott
Department: State Water Resources Control Board
Reason: Financial hardship due to catastrophic illness
Human Resources Contact: If you would like to donate leave time click here to download and complete the catastrophic leave donation form and send to:
ATTN: Betty M. Miles
Human Resources Office
1001 I Street
Sacramento, CA 95814
Email: betty.miles-carter@waterboards.ca.gov 

Member Name: Elizabeth Moreno
Department: Dept. of Food & Agriculture Animal Health and Food Safety Services
Reason: Chronic illness and recovery time have used all of Elizabeth’s leave.
Human Resources Contact: If you would like to donate leave time click here to download and complete the catastrophic leave donation form and send to:
ATTN: Kristy Hernandez
Human Resources Branch
1220 N Street, Room 242
Sacramento, CA 95814
Phone: 916.654.0790

Member Name: Manuel Angel Cortez
Department: CDCR, Wasco
Reason: Manuel has several very serious medical conditions and has been in and out of ICU since May 2015.  He won’t be able to return to work anytime soon. 
Human Resources Contact: Employees wishing to donate time should complete form CDC 869 available at all CDC Personnel Offices. Completed forms may be submitted through the donor’s Personnel Office for routing to:
Wasco State Prison – RC
Personnel Office
P.O. Box 8800
Wasco, CA 93280
Attn: Sonja Garrison (661) 758-8400 EXT. 5167

Member Name: Rosie Porraz
Department: Department of Health Care Services, Fiscal Management & Accountability Branch
Reason: If you wish to contribute leave credits, please click to complete the Catastrophic Leave Donation form, designating the amount and type of leave credits you are donating and return the form to your attendance clerk.  Donations must be in whole hour increments.  Represented employees may receive donations from non-represented employees.
Human Resources Department Contact: Patrice Wilson, (916) 323-9100 patrice.wilson@dhcs.ca.gov

Member Name: George Rubio
Department: CDCR, Wasco
Reason: Off work recovering from massive heart attack requiring full body rehabilitation
Human Resources Department Contact: If you would like to donate leave time click here to download and complete the Catastrophic Timebank Donation Authorization form and send to:
Attn: Heidi Layog, CDCR, Wasco
P.O Box 8800
Wasco, CA 93280

Member Name: Elisa Rubio
Department: CDCR, Wasco
Reason: Off work caring for her husband, George, who is recovering from massive heart attack requiring full body rehabilitation
Human Resources Department Contact: If you would like to donate leave time click here to download and complete the Catastrophic Timebank Donation Authorization form and send to:
Attn: Danielle Stemper, CDCR, Wasco
P.O Box 8800
Wasco, CA 93280

Member Name: Elizabeth Zunie 
Department: CA Governor’s Office of Emergency Services
Reason: Elizabeth has exhausted all her leave credits due to a family member’s serious health condition.
Human Resources Department Contact: If you would like to donate leave time please click here to download and complete the Cal OES form HR004-UH and mail to:
Attn: Gloria Pendelton 
Personnel Office
3650 Schriever Avenue
Mather, CA 95655
Phone: 916.845.8334

Member Name: Deborah C. Hall
Department: DMV Headquarters

Reason: Deborah’s daughter is battling stage 4 ovarian cancer and Deborah frequently needs to travel to San Bernardino to care for her daughter.
Human Resources Department Contact: If you would like to donate leave credits, please fill out this form[.pdf] and mail to:
Department of Motor Vehicles 
Human Resources Branch
Attn: Elsie Barrios, Catastrophic Leave Coordinator
P.O. Box 932315, M/S A208
Sacramento, CA 95818
Inter-Office Mail:
Human Resources Branch
Attn: Elsie Barrios, Catastrophic Leave Coordinator M/S A208

Member Name: Christina Evitt
Department:  Department of Veterans Affairs, Yountville Veterans Home
Reason:  Christina has been battling cancer for the last year and has used all her leave.
Human Resources Department Contact:  Please contact Ranika Ivy, Personnel Specialist at Yountville Veterans Home at 707.944.4566 or ranika.ivy@calvet.ca.gov for additional information on contributing to Christina’s leave balance.

Member Name: Shannon Dominguez-Pree
Department:  Department of Public Safety, Office of Exposition Park Management
Reason: Mrs. Shannon Dominquez-Pree was the victim of a horrible violent crime on Wednesday, November 12, 2014.   Although she has survived her two surgeries to date, her recovery will be long and arduous. Shannon is a single mother of three beautiful daughters, and as such, the sole household income.
Catastrophic Leave/monetary donations are being requested to help sustain Shannon and her family and defray mounting medical bills.
Human Resources Department Contact:  Personnel Specialist Maria Hill, 213.744.7533  or mhill@cscmail.org

Member Name: Chad Dobson
Department: Department of Public Health – Surveillance Research & Evaluation Branch
Reason: While experiencing serious personal health issues, Chad is now also caring for his mother who is going through chemotherapy
Human Resources Department contact: Edna Martin, 916.449.5808 or martin.edna@cdph.ca.org Click here to download the time donation form

Member Name: Perlita Pascua
Department: California Substance Abuse Treatment Facility and State Prison
Reason: Victim of domestic dispute resulting in sever burns to her body. She has undergone multiple surgeries and still remains under a lot of stress both physically and mentally. 
Human Resources Department Contact: To donate leave time, click here to download the form [PDF] and mail to Attn. Personnel Department, 900 Quebec Ave, Corcoran, California 93212 or fax it to 559.992.7102

Member Name: Maggie Blevins
Department: State Compensation Insurance Fund
Reason: Ongoing medical condition
Human Resources Department Contact: Anyone wishing to donate Catastrophic Leave should contact State Fund’s Transaction Specialist in HR, who can be reached at 916-924-5015

Member Name: Wendy Ross
Department: Department of Social Services
Reason: Emergency surgical proceedure 
Human Resources Department Contact: David Farinias, 916.651.6249, David.Farinias@DSS.ca.gov

General information

Transfer of Leave Credits, Work and Family Program
Catastrophic Leave

Article 8.8 and 8.8.3 of your union contract defines your right to transfer leave credits. Your Local 1000 contract guarantees family medical leave, parental leave or adoption leave.

Leave credits can be transferred between family members or to other persons residing in the immediate household who are also state employees.

Leave credits can be transferred from one or more employees to another employee for financial hardship due to injury or the prolonged illness of the employee.

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