Catastrophic Leave

Member Name: Jesse Edwards, AGPA
Department: Department of Health Care Services
Program Support Branch, Facilities Unit
Reason: Member and DHCS employee Jesse Edwards is in need of catastrophic leave donations as his leave credits were exhausted mid-May 2019. Jesse’s catastrophic illness has taken him off work, and he will need hours donated to receive full pay through July 2019. 

The Catastrophic Leave Program permits the transfer of eligible leave credits (vacation, annual leave, holiday credits and CTO) to an employee when a catastrophic illness occurs.  Sick leave may NOT be donated.

If you wish to contribute leave credits and you work for DHCS, please complete the Catastrophic Leave Donation Form, designating the amount of time and type of leave credits you are donating and return the form to your attendance clerk. If you do not work for DHCS, please speak to your Department’s personnel specialist for the proper procedure. Donations must be in whole hour increments. Represented employees may receive donations from non-represented employees. 
Human Resources Department contact:
Dawn Adams
Personnel Specialist for BHPC, PSB, TPLRD, PRIHD and FMB
Department of Health Care Services
Human Resources Branch – Payroll & Benefits Section
PO Box 997411 – MS 1300
Sacramento, CA  95899-7411  
Phone:  (916) 345-7345 w  Fax:  (916) 552-8301
Email:  dawn.adams@dhcs.ca.gov

Click here to complete the Catastrophic Leave Donation form

Member Name: Orlene Sargenti
Department: Department of Corrections and Rehabilitation — Deuel Vocational Institution
Reason: Orlene has worked for the state as an LVN for 11 years and served as a Local 1000 steward for 10. She went into the hospital in April for heart surgery. It was discovered that her condition was much worse than expected.  She is still off work recovering from multiple bypasses and blockages and could use your help through catastrophic leave donations.
If you work for CDCR, please complete the form included and give it to your Personnel Office.  If you do not work for CDCR, please contact your Personnel Office for the appropriate procedure to follow. Thank you, sisters and brothers.
Human Resources Department contact:
Charlene May, Personnel Specialist
Phone: 209.835.4141, ext 5619
Click here to complete the Catastrophic Leave Donation form

Member Name: Beth Snyder
Department: Department of State Hospitals
Reason: Our sister, Beth Snyder, president of DLC 768 and long-time Job Steward, is in need of catastrophic leave donations.  If you work for DSH, complete the attached “Catastrophic Leave Donation form” (DSH 3035) and submit it to Human Resources in Room 440.  If you would like to donate and work for another department, please contact your Human Resource office for direction.
Click here to complete the Catastrophic Leave Donation form

Member Name: Jaime Molina
Department: CDCCR CCHCS–San Quentin                           
Reason: Jaime Molina, long-time Job Steward and LVN at San Quentin, has exhausted all his leave credits and is in need of our help.  To donate to Jaime, please contact your Human Resources Department.  If you work for CDCR CCHCS, the attached form will be required.
Click here to complete the Catastrophic Leave Donation form

Member Name: Andrée M. Joseph-Conley
Department: State Fund   
Reason: Andrée fell resulting in a concussion. Recovery from post-concussion syndrome has required her to take so much time off work that she has used all her leave credits, and she still has two surgeries pending. Please help our sister in her time of need.
If you are a State Fund employee, please complete the attached “Catastrophic Leave Donation Authorization Form” (SCOF e8929) and return it to your HR office.
If you work for another state department, contact your HR department.
State Fund Human Resources Department contact:
Yun Hong Hung, phone #: 925.416.7320
Click here to complete the Catastrophic Leave Donation form