Williams v. Illinois Department of Human Services
This text of Williams v. Illinois Department of Human Services (Williams v. Illinois Department of Human Services) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
[If you need additional space for ANY section, please attach an additional sheet and tees Bac WwW J I 4113/2022 : UNITED STATES DISTRICT COURT ,, - dk UEDEHHICT NORTHERN DISTRICT OF ILLINOIS ANGELA C. WILL ) C. WILLIAMS ) Case Number: 1:21-CV-00112 Plaintiff ) ) Judge: GARY FEINERMAN Vv. ) MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Revised Motion for Judgement
I, Angela C. Williams, Pro Se Litigant, ask the Court to grant a motion for judgement against the defendant, Madden Mental Health Center, due to: (1) Madden failed to filed an appearance, (2) Madden has failed to respond, (3) Madden has failed to file a motion under Rule 12, (4) Madden has failed to seek an extension of time, (5) Madden has failed to appear at status hearings, (6) Madden has failed to cooperated with the courts. Williams asked to be placed in a sedentary office position. Madden had office positions available at the time of Williams' request and changed the titles, changed the titles option, or eliminated the positions. Therefore, making it impossible for Williams to qualify for the position. Madden has an available position in the main administration building as the Front Desk Receptionist. The position is short staffed and has been since Williams last worked in the position on light-duty. Williams move this court for a judgment by default in this action, and show that the complaint in the above case was filed in this court on the 7th day of January 2021; the summons and complaint were duly served on the Defendant, Madden Mental Health Center; no answer or other defense has been filed by Madden Mental Health Center; default was entered in the civil docket in the office of this clerk on the 4th day of April 2021; no proceedings have been taken by Madden Mental Health Center since the default was entered; Madden Mental Health Center was not in military service and is not an infant or incompetent as appears in the declaration of Angela C. Williams submitted herewith. Wherefore, Williams moves that this court make and enter a judgment that gives her relief: (1) damages, (2) accommodate restrictions: sedentary position, (3) lost wages: $2719 per month times 27= $66,195.84, until she is placed in a sedentary position or until Madden accommodates her restrictions, (4) lost benefits and benefit time accrued: Vacation=30 days, Sick=28 days, Personal=6 days (5) monetary lost including all wage increases: $2500 bargaining unit stipend for economic hardship, bonuses and percentages increase to base pay: January 1, 2020: 1.2% = $244.68, July 1, 2020: 2.1% = $695.16, July 1, 2021: 3.95% = $333.96 totaling $1273.80, all monies total $74,686.80 (6) emotional distress, (7) Williams wants to be made whole. Dated: 01-12-2022 /s/ Angela C. Williams 68 W. 144th St., D, Riverdale, IL 60827 (708) 510-6178
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UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS ANGELA C. WILLIAM ) S CW s ) Case Number: 1:CV-21-00112 Plaintiff ) ) Judge: GARY FEINERMAN V. ) MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Declaration Williams would like reasonable accommodations to be fulfilled and be placed in an sedentary office position as if Williams has continuous service with accruing benefit time. Williams feels if Madden Mental Health Center granted the accommodated restrictions requested, she would have been working in a sedentary position, and would have had all things aforementioned. Williams ask to be granted relief. 7. Williams move this court for a judgment by default in this action, and show that the complaint in the above case was filed in this court on the 7th day of January 2021; the summons and complaint were duly served on the Defendant, Madden Mental Health Center; only a Waiver of Service has been filed by Madden Mental Health Center, no other defense; default was entered in the civil docket in the office of this clerk on the 4th day of April 2021; no proceedings have been taken by Madden Mental Health Center since the default was entered; Madden Mental Health Center was not in military service and is not an infant or incompetent as appears in the declaration of Angela C. Williams submitted herewith. I declare that the foregoing is true and correct. 1-12-2022 /s/ Angela C. Williams 68 W. 144th St. D Riverdale, IL 60827 708-510-6178
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UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS ANGELA C. WILLIAMS Case Number: 1:CV-21-00112 Plaintiff ) ) Judge: GARY FEINERMAN Vv. ) MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Declaration Effective July 1, 2022 3.95% *January 1, 2020 through June 30, 2020, 1.5% increase X $2719 base pay = $40.78 wage increase, $2719 base pay + $40.78 increase = $2759 per month. Total $16,554 owed. *July 1, 2020 through June 30, 2021, 2.1% increase X $2719 base pay = $50.09 wage increase, $2719 base pay + $50.09 = $2769.09 per month. Total $33,229.08 owed. *July 1, 2020 through June 30, 2021, 3.95% increase X $2719 base pay = $107.40 wage increase. $2719 base pay + 107.40 = $2826.40. Total $33916.80 owed. *July 1, 2021 through January 30, 2022, 3.95% X $2719 base pay = 107.40, $2719 base pay + $107.40 wage increase = $2826.40 per month. Salaries for employees on Sub-steps, salary increase: *July 1, 2019 through June 30, 2020 increase $25 per month X 12 months = $300. *July 1, 2020 through June 30, 2021 increase $25 per month X 12 months = $300. *July 1, 2021 through January 30, 2022 increase $25 X 7 months = $175. (F.) Emotional Distress, See paragraph 5. (G.) Williams wants to be made whole. Williams would like all seniority time, benefits, benefit time, back pay, and monetary earnings be restored.
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UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS oe EE Case Number: 1:CV-21-00112 Plaintiff ) ) Judge: GARY FEINERMAN v. ) MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Declaration
*2019: | year = 3 days owed. *2020: 1 year = 3 days owed. *2021: 1 year = 3 days owed. Total days owed = 10 Personal days owed. (E.) Monetary Lost: Economic Hardship Stipend of $2500, prorated by 25% for each fiscal year employee worked at least one day from July 1, 2015 through June 30, 2019. *2015: worked January 1 through December 31. *2016: worked January 1 through October 28. *2017: worked January 1 through January 7. *2018: worked January 1 through July 30. * 2019: worked March 15 through May 15. Total $2500 owed. Employees wage increase to base pay: Effective January 1, 2020: 1.5% Effective July 1, 2020: 2.1% Fffactive Tah 1 991 2 Q804 [If you need additional space for ANY section, please attach an additional sheet and reference that section.]
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UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS □ ANGELA C. WILLIAMS Case Number: 1:21-CV-00112 Plaintiff ) ) Judge: GARY FEINERMAN Vv. ) MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Declaration
*Vacation days 2021 owed: 7 years employed, 12 month year = 14 days 4 hrs 18 mins. Total 7 years employed, 41 days 7 hours 48 minutes vacation (owed). Sick=28 days, Benefit Time Earnings and Usage: Earning rate 1 day per month.
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[If you need additional space for ANY section, please attach an additional sheet and tees Bac WwW J I 4113/2022 : UNITED STATES DISTRICT COURT ,, - dk UEDEHHICT NORTHERN DISTRICT OF ILLINOIS ANGELA C. WILL ) C. WILLIAMS ) Case Number: 1:21-CV-00112 Plaintiff ) ) Judge: GARY FEINERMAN Vv. ) MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Revised Motion for Judgement
I, Angela C. Williams, Pro Se Litigant, ask the Court to grant a motion for judgement against the defendant, Madden Mental Health Center, due to: (1) Madden failed to filed an appearance, (2) Madden has failed to respond, (3) Madden has failed to file a motion under Rule 12, (4) Madden has failed to seek an extension of time, (5) Madden has failed to appear at status hearings, (6) Madden has failed to cooperated with the courts. Williams asked to be placed in a sedentary office position. Madden had office positions available at the time of Williams' request and changed the titles, changed the titles option, or eliminated the positions. Therefore, making it impossible for Williams to qualify for the position. Madden has an available position in the main administration building as the Front Desk Receptionist. The position is short staffed and has been since Williams last worked in the position on light-duty. Williams move this court for a judgment by default in this action, and show that the complaint in the above case was filed in this court on the 7th day of January 2021; the summons and complaint were duly served on the Defendant, Madden Mental Health Center; no answer or other defense has been filed by Madden Mental Health Center; default was entered in the civil docket in the office of this clerk on the 4th day of April 2021; no proceedings have been taken by Madden Mental Health Center since the default was entered; Madden Mental Health Center was not in military service and is not an infant or incompetent as appears in the declaration of Angela C. Williams submitted herewith. Wherefore, Williams moves that this court make and enter a judgment that gives her relief: (1) damages, (2) accommodate restrictions: sedentary position, (3) lost wages: $2719 per month times 27= $66,195.84, until she is placed in a sedentary position or until Madden accommodates her restrictions, (4) lost benefits and benefit time accrued: Vacation=30 days, Sick=28 days, Personal=6 days (5) monetary lost including all wage increases: $2500 bargaining unit stipend for economic hardship, bonuses and percentages increase to base pay: January 1, 2020: 1.2% = $244.68, July 1, 2020: 2.1% = $695.16, July 1, 2021: 3.95% = $333.96 totaling $1273.80, all monies total $74,686.80 (6) emotional distress, (7) Williams wants to be made whole. Dated: 01-12-2022 /s/ Angela C. Williams 68 W. 144th St., D, Riverdale, IL 60827 (708) 510-6178
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UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS ANGELA C. WILLIAM ) S CW s ) Case Number: 1:CV-21-00112 Plaintiff ) ) Judge: GARY FEINERMAN V. ) MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Declaration Williams would like reasonable accommodations to be fulfilled and be placed in an sedentary office position as if Williams has continuous service with accruing benefit time. Williams feels if Madden Mental Health Center granted the accommodated restrictions requested, she would have been working in a sedentary position, and would have had all things aforementioned. Williams ask to be granted relief. 7. Williams move this court for a judgment by default in this action, and show that the complaint in the above case was filed in this court on the 7th day of January 2021; the summons and complaint were duly served on the Defendant, Madden Mental Health Center; only a Waiver of Service has been filed by Madden Mental Health Center, no other defense; default was entered in the civil docket in the office of this clerk on the 4th day of April 2021; no proceedings have been taken by Madden Mental Health Center since the default was entered; Madden Mental Health Center was not in military service and is not an infant or incompetent as appears in the declaration of Angela C. Williams submitted herewith. I declare that the foregoing is true and correct. 1-12-2022 /s/ Angela C. Williams 68 W. 144th St. D Riverdale, IL 60827 708-510-6178
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UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS ANGELA C. WILLIAMS Case Number: 1:CV-21-00112 Plaintiff ) ) Judge: GARY FEINERMAN Vv. ) MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Declaration Effective July 1, 2022 3.95% *January 1, 2020 through June 30, 2020, 1.5% increase X $2719 base pay = $40.78 wage increase, $2719 base pay + $40.78 increase = $2759 per month. Total $16,554 owed. *July 1, 2020 through June 30, 2021, 2.1% increase X $2719 base pay = $50.09 wage increase, $2719 base pay + $50.09 = $2769.09 per month. Total $33,229.08 owed. *July 1, 2020 through June 30, 2021, 3.95% increase X $2719 base pay = $107.40 wage increase. $2719 base pay + 107.40 = $2826.40. Total $33916.80 owed. *July 1, 2021 through January 30, 2022, 3.95% X $2719 base pay = 107.40, $2719 base pay + $107.40 wage increase = $2826.40 per month. Salaries for employees on Sub-steps, salary increase: *July 1, 2019 through June 30, 2020 increase $25 per month X 12 months = $300. *July 1, 2020 through June 30, 2021 increase $25 per month X 12 months = $300. *July 1, 2021 through January 30, 2022 increase $25 X 7 months = $175. (F.) Emotional Distress, See paragraph 5. (G.) Williams wants to be made whole. Williams would like all seniority time, benefits, benefit time, back pay, and monetary earnings be restored.
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UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS oe EE Case Number: 1:CV-21-00112 Plaintiff ) ) Judge: GARY FEINERMAN v. ) MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Declaration
*2019: | year = 3 days owed. *2020: 1 year = 3 days owed. *2021: 1 year = 3 days owed. Total days owed = 10 Personal days owed. (E.) Monetary Lost: Economic Hardship Stipend of $2500, prorated by 25% for each fiscal year employee worked at least one day from July 1, 2015 through June 30, 2019. *2015: worked January 1 through December 31. *2016: worked January 1 through October 28. *2017: worked January 1 through January 7. *2018: worked January 1 through July 30. * 2019: worked March 15 through May 15. Total $2500 owed. Employees wage increase to base pay: Effective January 1, 2020: 1.5% Effective July 1, 2020: 2.1% Fffactive Tah 1 991 2 Q804 [If you need additional space for ANY section, please attach an additional sheet and reference that section.]
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UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS □ ANGELA C. WILLIAMS Case Number: 1:21-CV-00112 Plaintiff ) ) Judge: GARY FEINERMAN Vv. ) MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Declaration
*Vacation days 2021 owed: 7 years employed, 12 month year = 14 days 4 hrs 18 mins. Total 7 years employed, 41 days 7 hours 48 minutes vacation (owed). Sick=28 days, Benefit Time Earnings and Usage: Earning rate 1 day per month. *2018 days owed: 5 months = 5 days owed. *2019 days owed: 12 months = 12 days owed. *2020 days owed: 12 months = 12 days owed. *2021 days owed: 12 months = 12 days owed. Total 40 Sick days owed. Personal Day Earning: January | through February 3 = days. February 2 through April 1 = 2.5 days. April 2 through June 1 = 2 days. June 2 through August 1 = 1.5 days. August 2 through October | = 1 day October 2 through December 1 = ,5 day. December 2 through December 31 = 0. *IN1R> S manthe left in vear = 1 daw aed [if you need additional space for ANY section, please attach an additional sheet and reference that section ]
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‘UNITED STATES DISTRICT COURT. NORTHERN DISTRICT OF ILLINOIS. ANGELA C. WILLIAMS Case Number: 1:CV-21-00112 Plaintiff ) ) Judge: GARY FEINERMAN Vv. MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Declaration Williams has become angry because of her loss of enjoyment of life. 6. Wherefore, Williams moves that this court make and enter a judgment that gives her relief: (A.) damages. (B.) Accommodate Restrictions: Sedentary position, No lifting, pushing, pulling 20lbs, no work above the shoulder level, office work only. (C.) Lost Wages: Ihr = $18.12> 1 work day 7 1/2 hrs =$135.95, 5 day work week 37 1/2 hrs> = $679.75, 10 day bi-weekly work 75 hrs > $1359.50, two pay periods>1 month work 150 hrs> = $2719.00. 5 months for 2018> = $13,595, 12 months for 2019> = $32,628, 12 months for 2020> = $32,628, 12 months for 2021> = $32,628, 3 yrs 5 months of loss wages = $111,479. Williams ask that Madden Mental Health Center gives her back pay, and accommodate her restrictions placing her in _ a Sedentary position, and pay her until she is placed in sedentary position with the State of Illinois. (D.) Lost Benefits and Benefit time owed: Vacation Monthly Earning rates: 0 through 5 yrs = 10 days (owed 6 hrs 15 mins. per month). 6 yrs through 9 yrs = 15 days (owed 9 hrs 23 mins. per month). *Vacation days 2018 owed: 4 years employed, 6 hrs 15 mins. per month X 5 months = 4 days 1 hr. *Vacation days 2019 owed: 5 years employed, 12 month year = 9 days 1 hour 14 mins. *Vacation days 2020 owed: 6 years employed, 12 month year = 14 days 1 hour 16 mins. [If you need additional space for ANY section, please attach an additional sheet and reference that section.
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UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS
ANGELA C, WILLIAMS Case Number: 1:21-CV-00112 Plaintiff ) ) Judge: GARY FEINERMAN V. ) MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Declaration
the second time in December 2020. Williams has a Illinois Department of Central Management Services, Official Competitive Promotional Examination Well Qualified Grade (A), and Medical Billing Certificates. Williams interviewed in 2021, but Williams did not receive the position. When Williams inquired about her application for the first position she applied for as an Health Information Associate, she was told by Human Resources, Madden Mental Health Center changed the title of the position after she applied. 5. This situation has caused Williams emotional distress, and have brought on humiliation to Williams. Williams has loss quality of life. Williams have lost the ability to provide for herself. Williams has lost her job, and her only source of income. Williams has lost her finances, therefore, she cannot provide essentials for herself, neither can Williams provide meals for herself. Williams and her family has been displaced. Williams has lost her family's place of residence, resulting in Williams living day-to-day, where family or friends makes room for her to sleep. Williams has lost her sources of transportation. This issue has caused Williams to lose excessive sleep. Williams has become very frustrated because of her inconsistant living arrangement and loss of quality of life. Williams has become very angry because of her loss of everything mentioned beforehand.
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UNITED STATES DISTRICT COURT . ‘ NCRTHERN DISTRICT: OF ILLINOIS ANGELA C. WILLIAMS Case Number: 1:21=CV-00112 Plaintiff ) ) Judge: GARY FEINERMAN Vv. MADDEN MENTAL HEALTH CENTER 2 Magistrate Judge: M, DAVID WEISMAN Defendant ) Declaration Williams informed Madden Mental Health Center about her permanent restrictions of No lifting, pushing, pulling 201bs, no work above shoulder level, office work only, Physicians Statement, given to the Worker's Compensation Representative at the facility. 3. Williams asked to be placed in a sedentary office position, office work: answering phones, making copies, faxing, filing. Madden had office positions available at the time of Williams' request and changed the title, changed the title option, or eliminated the position. Therefore, making it impossible for Williams to qualify for the position. Madden has multiple sedentary positions available. Madden has an available position in the main administration building as the Front Desk Receptionist or Switchboard Operator. The position is short staffed and has been since Williams last worked in the position on light-duty from December 2016 until January 2017, and is currently short staffed, 4. Williams was on light-duty at Madden Mental Health Center in the Medical Records Department from January 2018 until July 2018 totalling 210 days, which is the time allowed for light-duty assignments, according to the Agreement between Council 31 AFSCME and the State of Illinois. While on light-duty in June 2018, Williams was told by the director of the Medical Records Department, he inquired about Williams staying in the department permanently because of a need of help, but the inquiry was rejected by the Hospital Administrator at that time. Williams applied for two open positions at Madden Mental Health Center in the Medical Records Department, as a Health Information Associate, the first time in 2019, [If you need additional space for ANY section, please attach an additional sheet and reference that section.]
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UNITED STATES DISTRICT COURT: NORTHERN DISTRICT OF ILLANCIS ANGELA C. WILLIAMS Case Number: 1:21-CV-00112 Plaintiff ) ) Judge: GARY FEINERMAN V. ) MADDEN MENTAL HEALTH CENTER Magistrate Judge: M. DAVID WEISMAN Defendant ) Declaration Angela C. Williams, a Plaintiff Pro Se Litigant, certify that she has personal knowledge of the following facts and that she is competent on the following: 1. Madden Mental Health Center failed to file an appearance on their behalf according to court notes dated 5-4-2021. Madden Mental Health Center has failed to respond to court correspondence according to court notes dated 4-13-2021. Madden Mental Health Center has failed to file a motion under Rule 12 according to court notes dated 6-7-2021. Madden Mental Health Center has failed to seek an extension of time to file initial documents according to court notes dated 4-20-2021. Madden Mental Health Center has failed to appear at status hearings according to Williams' personal knowledge from court attendance and court notes dated 4-20-2021. Madden Mental Health Center has failed to cooperated with the courts according to court notes dated 4-8-2021. 2. Williams started working at Madden Mental Health Center October 2014. Williams was injured with a torn right Rotator Cuff and a right ripped Tendon on the job on October 28, 2016. Madden Mental Health Center was informed of the injury the same day. Williams was given an incident report to complete by the supervisor on duty. As a result of Williams’ injury, Williams loss 80% usage of her right arm (prodominent arm), and is restricted to sendentary office work, No lifting, pushing, pulling>20 Ibs., no work above shoulder level. Office work only, not able to continually type due to Right Shouldler injury/surgery.
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SALARY EARNINGS STATEMENT FOR PAY PERIOD ENDING 04/15/2019 EMPLOYEE ID: 27-4874460 SCHEDULED PAY DATE 04/29/2019 IS NOT A DEPOSIT RECEIPT :
WARRANT - TRACE NO. YEAR TO DATE EARNINGS AND TAXES SA6326689 - 0020604 GROSS EARNINGS 12585.26 FEDERAL TAX 410.66 F.LCA, 962.78 394,55 WILLIAMS ANGELA C APT D OTHER COMP, 0.00 68 W 144TH ST NON-TAX INCOME 498.06 RIVERDALE IL 60827 EARNED INC. CRED. 0.00
TO DATE GROSS EARNINGS PLUS OTHER COMPENSATION SS NON-TAXABLE INCOME EQUAL TAXABLE GROSS. CURRENT PERIOD EARNINGS AND DEDUCTIONS SECURITY NO. BASE PAY OVERTIME PAY LUMP SUM ADDITIONAL GROSS GROSS EARNINGS we 1467.50 6.00 0,00 0.00 1467.50 DUCTIONS: TAX 142.02 STATE TAX 55.66 FICA 112.27 58.70
TOTAL DEDUCTIONS 368.65 PAY INCREASED BY THIS AMOUNT EARNED INC. CRED. 0.00 NET PAY 1098.85
SALARY EARNINGS STATEMENT FOR PAY PERIOD ENDING 03/31/2019 EMPLOYEE ID: 27-4874460 SCHEDULED PAY DATE 04/12/2019 HIS IS NOT A DEPOSIT RECEIPT WARRANT - TRACE NO. YEAR TO DATE EARNINGS AND TAXES $A6313606 - 0000000 GROSS EARNINGS 11117.76 FEDERAL TAX 268.64 F.LC.A, 850.51 338.89 WILLIAMS ANGELA C STATE TAX OTHER COMP. 0.00 68 W 144TH ST NON-TAX INCOME 439.36 RIVERDALE IL 60827 EARNED INC, CRED. 0.00
TO DATE GROSS EARNINGS PLUS OTHER COMPENSATION SS NON-TAXABLE INCOME EQUAL TAXABLE GROSS. CURRENT PERIOD EARNINGS AND DEDUCTIONS SECURITY NO. BASE PAY OVERTIME PAY LUMP SUM ADDITIONAL GROSS GROSS EARNINGS wrk 1467.50 0.00 0.00 0.00 1467.50 DUCTIONS: TAX 142.02 STATE TAX 55.66 FICA 112.27 58.70 IW OFFSET 4.32
TOTAL DEDUCTIONS 372.97 OSS PAY INCREASED BY THIS AMOUNT EARNED INC. CRED. 0.00 NET PAY 1094,53 TO IDHR
EO ———— wr BS 863 EEO Bh Ge ll OE et Ee iw □□ SALARY EARNINGS STATEMENT 5400 FOR PAY PERIOD-ENDING 04/15/2018 EMPLOYEE ID: 27-4874460 SCHEDULED PAY DATE 04/27/2018 IS NOT A DEPOSIT RECEIPT WARRANT - TRACE NO. YEAR TO DATE EARNINGS AND TAXES $A5994689 - 0009469 GROSS EARNINGS 8899.00 FEDERAL TAX 0.00 F.LC.A, 680.77 220.48 WILLIAMS ANGELA C STATE TAX 5400 OTHER COMP. 0.00 414 W 16TH ST NON-TAX INCOME 355.97 CHICAGO HEIGHTS IL 60411 EARNED INC. CRED. 0.00
TO DATE GROSS EARNINGS PLUS OTHER COMPENSATION SS NON-TAXABLE INCOME EQUAL TAXABLE GROSS. CURRENT PERIOD EARNINGS AND DEDUCTIONS SECURITY NO. BASE PAY OVERTIME PAY LUMP SUM ADDITIONAL GROSS GROSS EARNINGS wrk 2612 1359.50 0.00 0.00 0.00 1359.50 DUCTIONS: TAX 39.85 FICA 104,00 RETIREMENT 54.38 DUES 35,57
TOTAL DEDUCTIONS 233.80 OSS PAY INCREASED BY THIS AMOUNT EARNED INC. CRED. 0.00 NET PAY 1125.70 LOYEE ID : 27-4874460
- SALARY EARNINGS STATEMENT 5400 FOR PAY PERIOD ENDING 03/31/2018 EMPLOYEE ID: 27-4874460 SCHEDULED PAY DATE 04/13/2018 IS NOT A DEPOSIT RECEIPT WARRANT - TRACE NO. YEAR TO DATE EARNINGS AND TAXES $A5981565 - 0014720 GROSS EARNINGS 7539.50 FEDERAL TAX 0.00 F.LCA, 576.77 180.63 WILLIAMS ANGELA C ve STATE TAX 5400 OTHER COMP. 0.00 414 W 16TH ST NON-TAX INCOME 301.59 CHICAGO HEIGHTS IL 60411 EARNED INC. CRED. 0.00
TO DATE GROSS EARNINGS PLUS OTHER COMPENSATION NON-TAXABLE INCOME EQUAL TAXABLE GROSS. CURRENT PERIOD EARNINGS AND DEDUCTIONS SECURITY NO. BASE PAY OVERTIME PAY LUMP SUM ADDITIONAL GROSS GROSS EARNINGS wr. 2612 1359.50 0.00 0.00 0.00 1359.50
TAX 39.85 FICA 104.00 RETIREMENT 54.38 ON DUES 35,57
TOTAL DEDUCTIONS 233.80 PAY INCREASED BY THIS AMOUNT EARNED INC. CRED. 0.00 NET PAY 1125.70 ID : 27-4874460
SALARY EARNINGS STATEMENT 5400 FOR PAY PERIOD ENDING 03/15/2018 EMPLOYEE ID: 27-4874460 SCHEDULED PAY DATE 03/29/2018 IS-‘NOT A DEPOSIT RECEIPT □ WARRANT - TRACE NO. YEAR TO DATE EARNINGS AND TAXES $A5959335 - 0009256 GROSS EARNINGS 6180.00 FEDERAL TAX 0.00 F.I.C.A. 472.77 140.78 WILLIAMS ANGELA C. STATE TAX 5400 OTHER COMP. 0.00 414 W 46TH ST NON-TAX INCOME 247.21 CHICAGO HEIGHTS IL 60411 EARNED INC. CRED. 0.00
TO DATE GROSS EARNINGS PLUS OTHER COMPENSATION NON-TAXABLE INCOME EQUAL TAXABLE GROSS. CURRENT PERIOD EARNINGS AND DEDUCTIONS SECURITY NO. BASE PAY OVERTIME PAY LUMP SUM ADDITIONAL GROSS GROSS EARNINGS wee 9612 1359.50 0.00 0.00 0.00 1359.50
TAX 39.85 FICA 104.00 RETIREMENT 54,38 ION DUES 35.57
TOTAL DEDUCTIONS 233.80 PAY INCREASED BY THIS AMOUNT EARNED INC. CRED. 0.00 NET PAY 1125.70 ID : 27-4874460
SALARY EARNINGS STATEMENT 5400 FOR PAY PERIOD ENDING 07/15/2017 EMPLOYEE ID: 27-4874460 SCHEDULED PAY DATE 07/28/2017 IS NOT A DEPOSIT RECEIPT WARRANT - TRACE NO. YEAR TO DATE EARNINGS AND TAXES $A5748920 - 0000000 GROSS EARNINGS 13046.29 FEDERAL TAX 219.50 F.LC.A. 998,05 292.56 WILLIAMS ANGELA C STATE TAX 5400 OTHER COMP. 0.00 414 W 46TH ST NON-TAX INCOME 521.85 CHICAGO HEIGHTS IL 60411 EARNED INC. CRED. 0.00
TO DATE GROSS EARNINGS PLUS OTHER COMPENSATION NON-TAXABLE INCOME EQUAL TAXABLE GROSS. CURRENT PERIOD EARNINGS AND DEDUCTIONS SECURITY NO. BASE PAY OVERTIME PAY LUMP SUM ADDITIONAL GROSS GROSS EARNINGS wee 2612 1359.50 0.00 0.00 0.00 1359.50
TAX 37.67 FICA 104.00 RETIREMENT 54.38 DUES 35.57
TOTAL DEDUCTIONS 231.62 PAY INCREASED BY THIS AMOUNT EARNED INC. CRED. 0.00 NET PAY 1127.88 ID : 27-4874460
SALARY EARNINGS STATEMENT 5400 FOR PAY PERIOD ENDING 06/15/2017 EMPLOYEE ID: 27-4874460 SCHEDULED PAY DATE 06/29/2017 IS NOT A DEPOSIT RECEIPT WARRANT - TRACE NO. YEAR TO DATE EARNINGS AND TAXES $A5719427 - 0009011 GROSS EARNINGS. 10323.96 FEDERAL TAX 219.50 F.ILC.A. 789,79 226.20 WILLIAMS ANGELA C STATE TAX Sand OTHER COMP. 0.00 414 W 16TH ST NON-TAX INCOME 412.96 CHICAGO HEIGHTS IL 60411 EARNED INC. CRED. 0.00
TO DATE GROSS EARNINGS PLUS OTHER COMPENSATION SS NON-TAXABLE INCOME EQUAL TAXABLE GROSS. CURRENT PERIOD EARNINGS AND DEDUCTIONS SECURITY NO. BASE PAY OVERTIME PAY LUMP SUM ADDITIONALGROSS — GROSS EARNINGS 2619 3336.95 0.00 0.00 0.00 3336.95 DUCTIONS: TAX 219.50 STATE TAX 99.75 FICA 255.28 133.48 UNION DUES 35.57 IW OFFSET 290.00
TOTAL DEDUCTIONS 1033.58 PAY INCREASED BY THIS AMOUNT EARNED INC. CRED. - 0.00 NET PAY 2303.37 5.00 617.95 GA *** 1359.50 ID : 27-4874460
SALARY EARNINGS STATEMENT 5400 FOR PAY PERIOD ENDING 12/15/2016 EMPLOYEE ID: 27-4874460 SCHEDULED PAY DATE 12/29/2016 IS NOT.A DEPOSIT RECEIPT > WARRANT - TRACE NO. YEAR TO DATE EARNINGS AND TAXES SA5544386 - 0009326 GROSS EARNINGS 48836.00 FEDERAL TAX 1160.30 F.ILC.A. 3735.98 1268.78 WILLIAMS ANGELA C STATE TAX 5400 OTHER COMP. 0.00 CHICAGO HEIGHTS IL 60411 EARNED INC. CRED. 0.00
TO DATE GROSS EARNINGS PLUS OTHER COMPENSATION NON-TAXABLE INCOME EQUAL TAXABLE GROSS. CURRENT PERIOD EARNINGS AND DEDUCTIONS SECURITY NO. BASE PAY OVERTIME PAY LUMP SUM ADDITIONALGROSS GROSS EARNINGS + 9612 1486.78 0.00 0.00 0.00 1486.78
TAX 33.15 FICA 113.74 RETIREMENT 59.47 DUES 35.57
TOTAL DEDUCTIONS 241.93 PAY INCREASED BY THIS AMOUNT EARNED INC. CRED. 0.00 NET PAY 1244.85 50.40 6D 15.00 22.50 RT .40 54.38 ID : 27-4874460
SALARY EARNINGS STATEMENT 5400 FOR PAY PERIOD ENDING 11/30/2016 EMPLOYEE ID: 27-4874460 SCHEDULED PAY DATE 12/14/2016 IS NOT A DEPOSIT RECEIPT WARRANT - TRACE NO. YEAR TO DATE EARNINGS AND TAXES $A5528396 - 0009673 GROSS EARNINGS 47349.22 FEDERAL TAX 1160.30 F.LC.A. 3622.24 1235.63 WILLIAMS ANGELA C STATE TAX 5400 OTHER COMP. 0.00 414 W 46TH ST NON-TAX INCOME 1893.97 CHICAGO HEIGHTS IL 60411 EARNED INC. CRED. 0.00
TO DATE GROSS EARNINGS PLUS OTHER COMPENSATION NON-TAXABLE INCOME EQUAL TAXABLE GROSS. CURRENT PERIOD EARNINGS AND DEDUCTIONS SECURITY NO. BASE PAY OVERTIME PAY LUMP SUM = ADDITIONAL GROSS GROSS EARNINGS 1836.77 0.00 0.00 0.00 1836.77 DUCTIONS: TAX 15.00 STATE TAX 45.75 FICA 140.51 73.47 UNION DUES 35.57
TOTAL DEDUCTIONS 310.30 OSS PAY INCREASED BY THIS AMOUNT EARNED INC. CRED. 0.00 NET PAY 1526.47 84.00 GD 15.00 22.50 RT 3.00 370.77 ID : 27-4874460
SALARY EARNINGS STATEMENT 5400 FOR PAY PERIOD ENDING 12/15/2015 EMPLOYEE ID: 27-4874460 SCHEDULED PAY DATE 12/29/2015 IS NOT A DEPOSIT RECEIPT WARRANT - TRACE NO. YEAR TO DATE EARNINGS AND TAXES $A5194954 - 0009754 GROSS EARNINGS 36702.37 FEDERAL TAX 168.10 F.LC.A. 2807.72 837.46 WILLIAMS ANGELA C STATE TAX 5400 OTHER COMP. 0.00 CHICAGO HEIGHTS IL 60411 EARNED INC. CRED. 0.00
TO DATE GROSS EARNINGS PLUS OTHER COMPENSATION SS NON-TAXABLE INCOME EQUAL TAXABLE GROSS. CURRENT PERIOD EARNINGS AND DEDUCTIONS SECURITY NO. BASE PAY OVERTIME PAY LUMP SUM ADDITIONAL GROSS GROSS EARNINGS wee 1445.75 0.00 0.00 0.00 1445.75 DUCTIONS: TAX 31.88 FICA 110.60 RETIREMENT 57.83 DUES 35.57
TOTAL DEDUCTIONS 235.88 OSS PAY INCREASED BY THIS AMOUNT EARNED INC. CRED. 0.00 NET PAY 1209.87 66.00STH 7.50 9.00 6D 7.50 11.25 LOYEE iD : 27-4874460
SALARY EARNINGS STATEMENT 5400 FOR PAY PERIOD ENDING 11/30/2015 EMPLOYEE ID: 27-4874460 SCHEDULED PAY DATE 12/14/2015 IS NOT A DEPOSIT RECEIPT. ; WARRANT - TRACE NO. YEAR TO DATE EARNINGS AND TAXES $A5179861 - 0009398 GROSS EARNINGS 35256.62 FEDERAL TAX 168.10 F.L.C.A. 2697.12 805.58 WILLIAMS ANGELA C STATE TAX 5400 OTHER COMP. 0.00 CHICAGO HEIGHTS IL 60411 EARNED INC. CRED. 0.00
TO DATE GROSS EARNINGS PLUS OTHER COMPENSATION NON-TAXABLE INCOME EQUAL TAXABLE GROSS. CURRENT PERIOD EARNINGS AND DEDUCTIONS SECURITY NO. BASE PAY OVERTIME PAY LUMP SUM ADDITIONAL GROSS GROSS EARNINGS wee 2612 1796.18 0.00 0.00 0.00 1796.18
TAX 12.80 STATE TAX 44.51 FICA 137.40 71.85 UNION DUES 35.57
TOTAL DEDUCTIONS 302.13 PAY INCREASED BY THIS AMOUNT EARNED INC. CRED. 0.00 NET PAY 1494.05 65.84 HO 3.50 375.04 DK .25 4.20- LOYEE ID : 27-4874460
iffinols.gov State Hampers? Retiree psp □□
January 10, 2022
Angela Williams 68 W. 144 St. #D Riverdale, tL 60827
Member ID: 27-4874460
Dear Ms. Williams: Please be advised that you received a non-occupational disability benefit from the State Employees’ Retirement System (SERS). Your monthly non- occupational disability benefit began 5/30/2019 through 6/30/2021, the gross amount was $1522.77. You were entitled to this benefit until you reached half your time of service which was 6/30/2021. SERS shows you were on nonoccupational benefit for 24 months. — If you have questions, please contact SERS call center at 24 7-785-7444, Sincerely, ? ducpareM Nady Suzanne Maddox Disability Examiner disabilitysection@srs.illinois.gov
South Veterans Parkway, P.O, Box 19255 Springfield, IL 62794-9255 | 217-785-7444 | ema. caa@ecarenn
fe —Sthle of Illinois D¢parimant of Human Services i ; - YSICIAN'S MEDICAL REVIEW DHS is requesting didclosure of Information that is necessary lo assist In evaluating a reasonable accommiodalian request, Disclosure of this information Is VOLUNTARY. All information will be kept confidential and used in compliance of applicable State and federal law4- and is regarded as profectad Health Information Subject fo HIPPA Polley. | 4) pveetaenant 2) bate of Birth: a OO ee 3) Home Address: ' 4) See Seo No: | 1 ————_—_— 5) by: §) Address; ’ RS | | buen □ 7) Employee/Applicant's Disability: pr poke pp bay □ (includes a physifal or mental impairment that substantially limits one more major life activities, which inelude such things caring for oneself, performing manual taske, walking, sitting, standing, lifting, reaching, seeing, hearing, breathing, learning and working). . a □ 8) Major Life Limitafon(s): | pod Ns ( aur 8) What are the spqcific essential job functions this person can't perform without a reasonable accommodation due to the disability? . . 4 . Gp ? | pee fle- . Lettres) pu ox A? 2D Ibs M0 bembke appre Quant i yy () af Yue nr. ot ab tits □ : (J P alte, pe purer (2B if Oger 10) What type of regsonable dctommagtion da you suggest for the-employee/applicant: Res pper, 7 Wit (O) porwr, 0 ) pull A □ Urrw.$ Lo A nels maps, 1 ‘ 11) Recommended duration of reasonable accammodstion: LOA ere bret we □□□ 12) informption to support need for reasonable accommodation: (2) Np br oo . “ AMINA b DALYE HpNadieresr G4 bs l -— PND ‘Hb OS 104544); re Physician's Painted Name Degree License Number HV \e Hae Hejna, {Mp ‘Ao, WD Physicians's Signature Date : ( Address ina + tone hone meee ants are responsible for having this ‘form completed and onvenie dioica Lee a (vie Df. an (R-0B-12) Physician's Medical Review" (708) 442-5870 , Page 1 of 1 by the Authorityjof the State of Illinois -0- Copies ‘* ) 482 fax) { 1 . .
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Council 31 LA
Dear AFSCME Member: This tentative agreement represents a remarkable achievement against extraordinary odds. Former governor Bruce Rauner waged an unrelenting war on state employees throughout his entire tenure in office and attempted to use negotiations for a new master contract as one of his primary weapons in that conflict. With unwavering determination, AFSCME members stood firm throughout those years—refusing to bend to Rauner’s destructive demands—and even voted to authorize a strike when Rauner moved to unilaterally impose his demands. Time and again we came together to stress our commitment to public service and to insist on the value of the work we do. And time and again we fought back against Rauner’s illegal step freeze, his threats to our economic security and job rights, his efforts to undermine the pensions we earned, and his fierce crusade to weaken, even destroy, our union. Now Bruce Rauner is gone—and we are still standing strong. With this tentative agreement we will have regained economic ground, protected hard-won gains and strengthened workplace rights. Avoiding the steep hikes in health care premiums that Rauner pushed for, we will keep health cost increases at an affordable level. And, perhaps most importantly, we will once again have a union contract that provides the solid foundation on which we stand. | urge you to vote to ratify this agreement as your Bargaining Committee has unanimously recommended. In unity,
Roberta Lynch Executive Director nn The contract shall become effective upon ratification and continue through June 30, 2023. e There are none of the changes to current contract rights and protections that Bruce Rauner was demanding. No weakening of limits on privatization. No reduction in overtime pay. No reductions in holiday pay. No diminishment of current layoff protections. No weakening of seniority as a factor in promotions.
KEY PROVISIONS OF TENTATIVE AGREEMENT | PAGE 2 WAGES This agreement ends the wage stagnation of the Rauner years and will enable employees to keep up with the cost of living and continue to progress through the salary schedule. ¢ The step plan will remain in place and all employees will continue to receive step and longevity increases as scheduled. ¢ Employees currently included in the AFSCME bargaining unit will receive a stipend of $2,500 upon ratification of this agreement in recognition of the economic hardships faced in the Rauner years. The stipend will be prorated by 25% for each fiscal year in which the employee worked at least one day from July 1, 2015 through June 30, 2019. Employees will receive wage increases to base pay as follows: o Effective January 1, 2020: 1.5% o Effective July 1, 2020: 2.1% oO Effective July 1, 2021: 3.95% Effective July 1,.2022: 3.95% ¢ Salaries for employees on sub-steps shall be further increased as follows: o 7/1/19: Sub-Steps 1a, 1b, and 1c shall be increased by $25 per month © 7/1/20: Sub-Steps 1a, 1b, and 1c shall be increased by an additional $25 per month © 7/1/21: Sub-Steps 1a, 1b, and 1c shall be increased by another $25 per month LEAVES POLICIES © Making illinois a leader in family-friendly policies, Maternity/Paternity Leave for birth and adoption will increase to 10 weeks with pay. if both parents are employees of the state, they will now each be entitled to the full leave, which can be taken either consecutively or concurrently, instead of having to split one paid leave. In cases of a full-term stillborn child the leave will be increased from 4 to 5 weeks, Anew benefit will allow two days of bereavement leave for the death of a member of the employee’s immediate family. This leave may only be taken once each year and shall be in addition to current practice which allows sick leave to be used in the event of a death in the family. Unless operational needs require otherwise, any employee who will no longer be permitted to work a flex-time or 4 day schedule shall be afforded 15 work days’ notice prior to the schedule change. PROTECTING AND EXPANDING JOB OPPORTUNITIES Anew MOU provides strong protections for current employees as the State begins the process of revamping its procedures for filling of vacancies in response to a court order on Shakman compliance. The new system will include shifting from letter to number grades.
Council 3 PQ
KEY PROVISIONS OF TENTATIVE AGREEMENT | PAGE 3 e Full funding will be restored to the U pward Mobility Program, which will enable the program to return to full operation. ¢ Several new titles are added to the Upward Mobility Program and additional titles are included for pay studies, “bridges”, semi-automatic promotions, and upgrades, ¢ = The parties will utilize the Upward Mobility Program to assist in the advancement of women and minorities.
PROTECTING AND PROMOTING EMPLOYEE HEALTH AND SAFETY ¢ Restrictions on mandatory overtime are greatly strengthened, including expanding the rights of employees to refuse mandation, delineating the procedures that must be followed before employees can be mandated, and increasing consequences for the employer when overtime is wrongly mandated. Anew side letter provides for the establishment of a joint labor-management Task Force on Workplace Violence to develop recommended programs designed to reduce the risk of violence in the workplace, including but not limited to assaults on staff by inmates, patients, or clients, as well as recommended protocols for employees to follow when faced with situations that could result in immediate harm. e A labor-management health and safety committee will be established to identify state agencies, programs or specific worksites that have a high number of serious job-related injuries and develop recommendations for changes to work environments or enhanced employee education and training. e Annuai hearing tests are expanded to include additional employees at risk for hearing loss. OTHER ISSUES Employee privacy rights are strengthened. The Employer is prohibited from providing any information pertaining to bargaining unit employees to any third-party entity unless required to do so by law, the operations of State government, and/or business relationship. ¢ Outstanding debts to the State at the time of retirement will no longer be cause for permanent termination of retiree health benefits, so long as the individual is making a good faith effort to repay the debt. A Parking Accessibility and Resolution Committee of union and management representatives shall be established to resolve parking disputes within the State’s control that cannot be resolved at the local or agency level. e CU-500 employees will now be covered by the same master agreement as other bargaining unit employees. CU-500 seniority is unchanged and will remain date of entry to the classification.
Council 31 LQ
KEY PROVISIONS OF TENTATIVE AGREEMENT | PAGE 4 HEALTH BENEFITS e result of the lengthy standoff with Bruce Rauner, there will not have been increases in employee health care premiums or out-of-pocket costs for nearly six years. With this new agreement, Rauner’s demands for health care premium increases of nearly 120% were finally cleared off the bargaining table and quality health care will remain affordable for all state employees. ¢ There will be no increase in employee premiums until January 1, 2020, when the first wage increase takes effect. ¢ There will be no cost increases related to plan design changes in the first year of the contract (FY20). In subsequent years, out-of-pocket costs will increase by amounts consistent with health care cost trends. Employee premiums will increase by a composite of $13/month for employees and $18/month for dependent coverage each year beginning January 1, 2020. Each composite amount will be distributed across the salary bands, consistent with the progressive structure of the bands, as well as across health plans based on the relative costs of the plans. e Dental premiums will increase by $1/month in the last three years of the contract. e As per current practice, retirees with at least 20 years of service shall pay no premiums for health care coverage. For non-Medicare eligible retirees, cost for dependents shall continue to be the same as dependent costs for active employees. e The tentative agreement includes a provision for the Union and Management to work together to implement various health care initiatives including telemedicine and preferred prescription maintenance choice that will allow health plan participants to-access doctors, specialists and prescription drugs at lower copay amounts. In addition, this committee will work to introduce a high deductible health plan option to the group insurance coverage and will also explore other innovations in health care coverage that can contain costs for employees, retirees and the employer, while maintaining or improving the quality of services provided.
Council 31 LP
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et Hit vacation, an employee shall be allowed reasonable time to review work Ht i done during his/her absence. i Section 10. Vacation Pay/Academic Year Educators (RC-63) He Beginning with the academic school year 2000, permanent, full-time Hi academic year Educators shall earn vacation in accordance with the le following schedule: Hin a) From the completion of one (1) year of service until the completion Ie} of ten (10) years of service: three (3) work days per year of | Mt employment. iit. b) From completion of ten (10) years of service until the completion va of fourteen (14) years of service: five (5) work days per year of Hil employment. ’ c) From completion of fourteen (14) years of service until the } completion of nineteen (19) years of service: eight (8) work days per year of employment. . o a d) From completion of nineteen (19) years of service until the completion of twenty-five (25) years of service: eleven (11) work ae days per year of employment. a e) From completion of twenty-five (25) years of service: fourteen at (14) work days per year of employment. a Payment for such vacation shall be paid in cash during the fiscal year in Ae which it was earned unless the Superintendent at his/her discretion grants | □ employee requests for vacation time usage during the academic year. be | i ARTICLEXE ~ i; Holidays | Section 1. Amounts oy All employees shall have time off, with full salary payment on the Hit following holidays or the day designated as such by the State: i! oh New Year’s Day as Martin Luther King Day i be Lincoln’s Birthday Nyt Presidents’ Day WINE Memorial Day Independence Day fei} Labor Day i | Columbus Day a) Veterans’ Day bi Thanksgiving Day ee Friday Following Thanksgiving Day | Christmas Day | General Election Day (on which members of the House of Representatives are elected) and any additional days proclaimed as holidays or non- working days by the Governor of the State of Illinois or by the President of the United States. Section 2. Equivalent Time Off When a holiday falls on an employee’s scheduled day off, or an employee works on a holiday, equivalent time off shall be granted within the following twelve (12) month period. It shall be granted on the day [26]
c) "Compensatory Payment" Hours worked in-excess of the below specified hours but less than forty (40) shall not be compensated, y provided that for such time so worked, compensatory overtime i shall be accrued at the rate equal to the time so worked and compensatory time off shall be granted by the Employer within 4 the fiscal year earned at a time convenient to the employee i consistent with the operating needs of the Employer, and if not so granted or taken, it shall be liquidated in cash before the end of the uf fiscal year in which earned. Correctional OfFiCePS «0.0... □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ 3/4 hours Employees in other position classifications except Youth Counselors, Youth Supervisors and Dietary employees in Juvenile Facilities 0.0... □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ 1/2 hours ; d) "Work Day and Work Week" (i) Correctional Officers - 38 3/4 hours consisting of five (5) : consecutive days of 8 1/4 consecutive hours, including an i: unpaid lunch period of thirty (30) minutes per day and a roll- 4 call period of fifteen (15) minutes per day which shall be paid Ae for in accordance with Section 20 of this Article. oi (ii) Employees in other position classifications except Youth He Counselors, Youth Supervisors and Dietary employees in ce Juvenile facilities consisting of five (5) consecutive days of eight (8) consécutive hours, including a thirty (30) minute a unpaid funch period per day. (iit) Youth Supervisors, Youth Counselors and Dietary employees . position classifications in Juvenile facilities - forty (40) hours, 4 consisting of five (5) consecutive days of eight (8) hours, ie including a thirty (30) minute paid lunch period per day. ) "Lunch Period" Employees who receive an unpaid lunch period i} and are required to work at their work assignments during such 4 period and who are not relieved, shalt have such time counted as a] hours worked for the purposes of Sections \(b) and I(c) above and shall be compensated at the appropriate compensatory straight or == overtime rate, whichever may be applicable. i? "Days Off" For employees working within position classifications aa and at facilities which require continuous coverage, scheduled work =| days and scheduled days off shall be consecutive, but may fall on any day of the work week. "Tardiness and Absenteeism" The agency's current practices and policies regarding tardiness and absenteeism shall continue. a on 2. General Provisions RC-9 "Consecutive Days and Hours" The regular hours of work each aa day shall be consecutive and the work week shall consist of five i (5) consecutive days of work within regular reoccurring period of 168 hours consisting of seven (7) consecutive 24-hour periods. ie Exceptions: to the above may exist in local supplementary «=~ agreements. j : “Work Day and Work Week" The normal work day shall be eight ae (8) hours per day and the normal work week shall be forty (40) ini hours week. -The-present practice with regards to employees 13 eS any See □□□□ working a siraight eight (8) hours with a paid half hour lunch i GE see ane □□□ [29] ay :
the Employer currently provides vehicles. Travel Control Board rules □□ shall govern the use of personal vehicles and per diems. as □□ □□□□□□ □□ Section 7. Educators’ Fringe Benefits (RC-63) □□ □□□ es □ The parties agree that past practices and policies of the Employer BCE □□□□□ □ relating to sick leave, and leave for personal business, as negotiated for i | eee □ □□□ Educators working an academic (school year) schedule, shall continue. 1 □□□ □□□□□ □□□□□□□ Section 8. Commercial Drivers License eee □□ The Employer will reimburse employees required to possess a Commercial Drivers License for the cost of such license. iJ □□□ □□□ □□□□ □□□□□□ Section 9. Public Service Quality Involvement Committees eet □□□ □□ - Employee involvement committees which seek to improve the quality Gees Erte □ □□□□ □□□ of service provided to the public and/or the quality of work life for □ □□□ employees may be established in any State agency by mutual agreement of the parties. Each party shall determine its own representatives to serve on such committee. Union designated bargaining unit employees shall ‘ participate in such committees without loss of pay. No such committees may take action on matters pertaining to wages, hours or conditions of employment. , Section 10. Reasgnable Accommodations Under the Americans with-Disabilities Act In the event a permanently disabled bargaining unit employee seeks a reasonable accommodation under the Americans with Disabilities Act, the Union has’the right to discuss with the Employer issues regarding such proposed reasonable accommodations and the impact on specific provisions. of the collective bargaining agreement. However, such discussions shall not impede the Employer from fulfilling its obligations under the Act. Only those reasonable accommodations which conflict with the collective bargaining agreement shall require the written consent of the Union. Section 11. Supplementary Agreements All supplemental agreements or memorandums of understanding, or □□ be other agreements shall be considered tentative agreements until approved by Central Management Services and the Union. □ No supplementary agreement or Memorandum of Understanding or □ Agreement may be entered into that conflicts with the Master Contract without the approval of CMS and the Union. Section 12. Disposition of Work During Absences □ The parties may by mutual agreement negotiate in agency □ supplementals the disposition of work in an employee’s absence. In any □□□ event, an employee’s authorized absence shall not be detrimental in any □□□ way to the employee’s record, nor will the employee be disciplined or □□ counseled for work unable to be completed based on the employee’s □□□ authorized absence. fa Section 13. Docking. +; ‘The-amount of salary deducted from an employee whose daily salary’. _ : eae □ □□□□ docked shall be pursuant to 80 Il. Admin. Code 310.70 (c). 5 eaerige oS □□□□ [117] ' □□□
ink □□ : Es 3 5 i _ 2 □ | for eligibility subject to the approval of the Department of Central Man- ~ | agement Services. Light duty assignments shall be subject to the following provisions: iT i 1. Employees shall be assigned to light duty provided that the treating physician indicates in writing that the employee is capable of re- i turing to work and performing light duty and will likely be able to return to full duties within 120 days of the employee’s evaluation. Employees on light duty on the effective date of this agreement may i i continue performing light duties consistent with this policy if their doctor indicates in writing that they will likely be able to return to Me | full duties within 120 days. #3 If at the end of a 120 day period; an employee, in the o inion of the | treating physician, is not capable of performing full ties, he/she | shall continue on light duty with the approval of the treating physician | for a period of thirty (30) days. | 4, Up to two (2) additional thirty (30) day extensions Shall be granted 7 | if necessary, but in no instance shall an employee be permitted to re- i. main on light duty more than two hundred ten i | (210) days, except for that period of time which preceded the date F of this agreement. . | 5. A task force composed of up to three (3) union and three (3) man- | agement representatives is hereby established in each agency to de- 5 velop a list of tasks that employees on light duty may be required to | perform except that in agencies with 24 hour facilities, such task | force shall be on a facility basis at the request of cither party. At the 4 i request of either party, a statewide task force comprised of up to i three (3) union and three (3) management representatives shall also a be established. 6. Prior to assignment on light duty, the union, Management, and the □ 7 employee shall meet to discuss the employee’s assignment. Such as- □ ie signments shall be made within the limitations set by the treating 7 i physician. □ ae | = H | 7. Ifmanagement desires to change an employee’s light duty tasks, it az i shall again meet with the employee and the union representative to □□□□ i | repeat the process herein as set forth in #6. = ie) 8. In the case of a dispute between Management and the union, □□□ | Union and the affected employee retain the right to grieve the as- | signment. □□□□ | 9. Any change in work schedule (shift or days off) will only be done ae sf; by agreement with the Union and the Employer. □ 4, □□ | a 10. The employee shall receive his/her base rate of pay and benefits 3 Consistent with his/her classification, □□ > 11. Curent Practices regarding an employee on light duty being counted □ □□ ne fi or not counted as part of a staffing minimum shall continue. □□ | □ (260) ag
White, Sharon D. ee From: DHS.HumanResources Sent: Thursday, April 30, 2020 10:04 AM Subject: Premium Pay . . □ To All AFSCME Employees Working at Our State Operated Developmental Centers and State Operated Psychiatric Hospitals: AFSCME and the Pritzker administration recognize the risk facing employees designated as Health Care Providers and Emergency Responders who were excluded from the Families First Coronavirus Response Act (FFCRA). In recognition of this risk and to ensure that the State can maintain continuity of critical services during the COVID-19 pandemic, we are pleased to_be implementing “Premium Pandemic Pay for COVID-19,” for AFSCME employees from the FFCRA. This premium pay enhancement will be applied as a 12% increase to an employee’s base for days worked between April 16, 2020 and May 31, 2020. we get closer to late May, there will be discussions as to the next steps, including steps relating to the pay depending on the continuing severity of the COVID-19 crisis. n addition, employees who work the full time during this same time frame will also be granted an extra Personal Benefit that will be added to their time account effective January 1, 2021. This benefit day has no cash value but can be in accordance with other Personal benefit time. greatly appreciate all of your hard work, care, and support for our residents and patients. If you have any questions, contact your Human Resources Representative.
of - CONFIDENTIALITY NOTICE: The information contained in this communication is confidential, may be privileged or attorney work product, may constitute inside information or internal deliberative staff and is intended only for the use of the addressee. Unauthorized use, disclosure or copying of this or any part thereof is strictly prohibited and may be unlawful. If you have received this communication in rror, please notify ihe sender immediately by return e-mail and destroy this communication and all copies thereof, all atlachmenis. Receipt by an unintended recipient does not waive attorney-client privilege, attorney work privilege, or any other exemption from disclosure,
Wofford, Cydney From: Cydney Wofford
---------- Forwarded message --------- From: AFSCME Council 31
Dear Cydnay, According to our records, ihe state of Illinois has designated you as an Emergency Responder or Health Care Provider, thereby excluding you from coverage under the Families First Coronavirus Response Act (FFRCA), which provides for expanded sick and family leave benefits. AFSCME made the case that simple fairness requires that any employees so excluded should receive some form of alternative benefit plan—especially when those excluded are often working in particularly high-risk environments. In late April the Union was able to reach agreement with the Pritzker Administration on the terms of such an alternative benefit plan. One of the key elements of that plan—Pandemic Premium Pay—is set to expire on Sunday, May 31st. xX We wanted to let you know that AFSCME has just reached an agreement with the Pritzker Administration to extend that Premium Pay through June 15.
In addition, the Administration agreed to maintain the current expanded sick leave benefit that was part of the Alternative Plan developed in April.
Wofford, Cydne From: Cydney Wofford
---------- Forwarded message --------- From: AFSCME Council 31
Dear Cydney, According to our records, the state of Illinois has designated you as an Emergency Responder or Health Care Provider, excluding you from coverage under the Families First Coronavirus Response Act which provides expanded sick and family leave benefits. As you know, AFSCME made the case that simple fairness requires that excluded employees should receive alternative benefits—especially because those excluded are often working in particularly high-risk environments. In April, the Union was able to reach agreement with the Pritzker Administration on the terms of such an alternative benefit plan. One of the key elements of that plan is Pandemic Premium Pay set at 12% of base salary, which is currently set io expire on Monday, June 15. x Now AFSCME has reached an agreement with the Pritzker Administration to extend that Premium Pay through June 30! As we had previously informed you, the Administration has also agreed io change the time frame for gaining an additional Personal Day: Anyone who worked all scheduled days between May 1 and May 31 will have a Personal Day added to their benefit account for use in 2021.
Wofford, Cydney From: Cydney Wofford
~--------- Forwarded message --------- From: AFSCME Council 31
Dear Cydney, As you know, from the earliest days of the coronavirus pandemic our union has been working to ensure that state employees have the safest possible working conditions. But there’s no doubt that many employees like you are on the job at worksites that have a higher incidence of COVID-19 cases, puiting you at greater risk, AFSCME made the case to the Pritzker Administration that your work in such high-risk settings deserved special recognition. The agreement that we reached with the Administration provided that recognition in the form of Pandemic Premium Pay, set at 12% of base salary, for April 16-June 30. Today AFSCME has reached an agreement with the Pritzker Administration to extend that Pandemic Premium through July 31! The Administration has also agreed to continue the expanded leave benefit which provides that if you become ill with COVID-19, you will remain in pay status—-without having te use any of your own benefit time—for as long as needed to recover from the virus. Moreover, the State will continue to waive all employes health care out-of-pocket cosis related to testing and/or treatment of COVID-19.
AFSCME has been leading the fight in states across the country to press for action in the Senate on the kind of federal emergency funding to states that is so urgently needed. Here in ilinois, Senators Dick Durbin and Tammy Duckworth are already on board. But in other states, Republican senators have largely fallen in line behind McConnell’s strategy to force drastic cuts on state governments. Second, and equally urgent, is voter approval of the Fair Tax constitutional amendment which will be on the ballot in Hlinois in the upcoming election. AFSCME strongly supports the Fair Tax and urges union members to Vote Yes! The amendment will remove the constitution’s ban on graduated tax rates like those that the federal government and 35 other states already have. It would trigger enactment of legislation already adopted by the General Assembly that would raise $3 billion in additional state revenues by raising taxes only on those who make more than $250,000 annually. Without the amendment, legislators would not have the option of ensuring that those with higher incomes pay taxes at a higher rate. AFSCME made the case to the Pritzker Administration that much will depend on how these issues are resolved-—-whether there is a change of direction in the US Senate and whether there is tax reform in Illinois. If progress is made on both fronts, then there will be a path forward to stabilize state government and potentially continue the pandemic pay supplement. And here's the good news: With those possibilities for fiscal stability before us, the * Administration has now agreed to extend the 12% pandemic pay supplement through "October 34! In addition, the State will continue to provide the COVID-19 enhanced paid sick time benefit— which is actually more expansive than that provided by the FFCRA. This alternative benefit plan is an important recognition that you are indeed “essential” and the work you are performing every day is vital to the public good. The threat posed by the coronavirus remains very real. If you need help to keep safe, don’t hesitate to reach out to your local union or your Council 31 Staff Representative. And remember—stay safe and stay AFSCME Sirong! In unity,
of Central Management Services □□□ | Print Form For use by currently certified employees covered by the Personnel Code and agencies under the Governor's jurisdiction. Complete this form along with the most recent CMS-100 and submit directly to the contact person named in the posting. Information Identification Number: 10-82-25307 Bargaining Unit: RCO28 Title Applied For: Health Information Associate Option, if applicable: DHS Division/Facility: MMHC County: COOK Information Angela C. Willliams Last 4 Digits of Social Security Number: □□ 2. Position Title: Mental Health Technician | Option, if applicable: DHS Division/Facility: AMHC County: COOK Location Address: 1200 S. First Ave. □□ if applicable: Pavilion 6, 2nd Shift Bargaining Unit: RCo09 Phone Number: 7083387400 Personal Phone Number: 7085106178 Address: 68 W. 144th St., Apt. D ee that promotional bidders must have submitted a Promotional Application (CMS-100B) or taken the required and performance exam for the above position classification before the end of the posting period. Promotional are to be submitted to the Division of Examining and Counseling, Department of Central Management Services, 500, Stratton Office Building, Springfield, Illinois 62706. the processing of bids and selection for the vacancy, it is requested that bidding employees select the following statement. | have a current promotional grade for the position. | have submitted a Promotional Application to the Department of Central Management Services for the above title, but have not yet received a grade notice. | submitted the Promotional Application on or about: | have taken the appropriate written and performance examination based on the promotional program requirements. | took the performance examination on: apply for: Job Assignment/Shift Preference (same title) C Upward Mobility Promotion Promotion C Reinstatement C Lateral Transfer Voluntary Reduction C Merit System-Transfer C Parallel Pay Grade Movement ‘| A a = . / yD) . =~) — nature: ( Ap / 4 Sf Z np Date: q Zz / ZOZO by Agéncy Personnel Gnly Post Marked by Post Office: rity Date: Position Number: Promotional Upward Mobility List Date:
STATE OF EONO!S PROMOTIONAL EMPLOYMENT APPLICATION DEPARTMENT OF CENTRAL MANAGEMENT SERVICES (CMS100B) the application in detail. Previous applications will NOT be considered. Omissions, variances or misstatements of material facts may forfeiture of rights to promotion in the service of the State of Illinois. Applications without necessary information or which are illegible will be processed. It is preferred that all documents be completed using a personal computing device. Use ink if completing this document by DO NOT USE THIS FORM TO APPLY FOR TRAINEE TITLES. separate application is required for each position title and option for which a grade is being sought. Attachments must be stapled to the back this document. CMS cannot assume responsibility for unattached documents. Submit completed applications to: CMS Bureau of Personnel, & Counseling Division, Stratton Office Building, Room 500, Springfield IL, 62706. September 1, 2019, CMS will grade new promotional applications only if they are for a specific, posted vacancy. complete Position Title and Vacancy Posting Number applied for: Office Use Exam Date . _ n —~, nly Posting Number / 0 “ 2 27 2530 / Leave Blank | wow | vr Title HON) SOC (GTC Option Name Williams First Name Angela MIC SSN 4 □□□□ 2 bof 68 W. 144th St, Apt. D County COOK Birth Date (Opt.) 7/17/1974 Riverdale State IL Zip 60827 Main Phone = (708) 510-6178 Other Phone (708) 870-1466 License No. W45200374803 State iL Issued (Mo/Yr) 7/19 Expires (Mo/Yr) 7/23 NONE Non-CDL|AT] BC] CZ] D L (] M[]| CDL/A [J B DJENDR!xX COIN] State employees currently employed under the jurisdiction of the Illinois Personnel Gode may apply. Do not use this form for Trainee titles. from competitive promotional eligible lists may only be made for employees in a lesser title at the at the time of promotion. your current status by checking only one of the boxes below. | currently hold a position in which | am certified, or held certified status during my period of continuous service. [| | am currently in Trainee status and received my appointment in accordance with open competitive standards. urrent Payroll Title (include Option if applicable) Mental Health Technician J_ Current Agency DHS Use Only Address myahoo for communication about
SECTION that | may be required to submit proof of previous employment, education, or any other statements in this application. | authorize of this and other information covering job-related factors for the purpose of verification. | certify that all the information on this is true and accurate and understand that misrepresentation of any material fact may be grounds for ineligibility or termination of ployment. —_—> fj j of Lat, 9-2/-20Z0 Signature Required Date I CMS Office Use Only - Leave Blank
Bol
S-100B (Rev. 7/2019) Page 1 of 10
10. If your answer to either or both of the following questions is “yes”, please provide a detailed explanation of the circumstance: in the space provided. A. Have you ever been fired from a job? (Downsize/layoff is not applicable.) | No B. Are you currently in default on the repayment of any state educational loan? ves [_] nol] State law provides that any employee who is in default on the repayment of any education loan for a period of six months or more and in the amount of $600 or more shall, as a condition of employment, make a satisfactory loan repayment arrangement with the maker or guarantor of the loan.
1. HIGH SCHOOL High School Graduate or GED? ~——- Yes No [| BUSINESS, TRADE, CORRESPONDENCE SCHOOL Business, Trade, Correspondence Number of Time Subjects Course □ □□□□□□□□□ School: Name and Address Years Attend| Full/Part ) Length Yes/No Institute 0 Fu Of Basic Nursing Skills 1 Month □□ Medical Billing School | 0 Pat [sf Basic and Advance 4 Months lvesg Nadinal Dillin
TECHNICAL/PROFESSIONAL LICENSE . . Date Issued |Expiration Date Technical/Professional License State Issued MM/YYYY
oT EDUCATION REPORT: List your education accurately and completely. A copy of college transcripts/degrees may be The number of credit hours you have earned may be needed to meet the minimum requirements for some titles. This is also useful for career counseling purposes. degrees and coursework will be validated using either a copy of the applicant's Official Transcripts or a copy of their diploma. applicant will be responsible for submitting either a copy of their Official Transcripts or a copy of their diploma. and Address (City & State) of Colleges/ . Number of |Level of Degree Universities Hours Earned Major Minor Years Earned Attended Do Not Do Not
| | | fe (Rev 4/2021) Page 2 of 14
UNDERGRADUATE AND GRADUATE HOURS SEPARATELY * DO NOT INCLUDE COURSES MORE THAN ONCE
a fo | SS [oo | EE fl Earned Earned Earned | ||| || enteorenttesm [P| faeboear [emma FE wrormerensuaes | [|| tomaenen || Agriculture jFirescience == | S| | |i Pastoral Counseling | | □□ [Lf renner femme [|| [|| seneinsenes] [| Architecture | | Ty [Foreign Language (Specify) | | || Political Science/Govt | | □□ PT [resco [TTP] pean □□□ Science Tf jFoesty | | | {i Psychology Pt □□ | [| |[oeematy ||| tenannnn || Yt | ft] jceooy = | | Tdi Radio - Television | | Yt □□ fd jcenecs = | | | Recreation | | [| | | | [| | Guidance and Counseling | | | |_| Rehab Counseling/Admin Yt] Yt | ft] jHeathvPubicHeaty = | | ||| Risk Assessment Yt □□ Pt fT fT History = TT Td Secretarial Science | | Admin/Mgmt rt tf] [Home Economics =| ||| Social Work | | □ Biology Pt [ ff jHumanites =| |] Sociology | | □□ TL |[iensonins atscone [PP Science rt | ty Hydrology = | | TC Speech and Drama | ff | {| | ft | jindustiatars =| |] Statistics | Justice Admin |] | fd [industrial Hygiene =| || Therapy (Specify) | | □ ty LTT imran roe | fice fens PTT fewest [|_| || | TL |ftawencamene [fifa | [| [| |fumensioe [ff ifm YS) LT fern fone [|| |[womnte Sere Jom reeay [LL Tilo YY [| [| |[erennis [| _iiom OSC sseree [| mmacaneones | [|| SSC teomsear [TPF fone eee te ome mment area to further speci 6 Fields o uay where noted in the previous fable
ewe. Teas FAT Compiete this section in detail. All fields MUST be completed to be considered for grading. Begin with most recent position title and work backward. If you have an extensive work history with one employer, list each change in position title separately including duties and dates associated with each. Resumes submitted must be in same format as the application. Attach additional sheets/resumes to the application. INCLUDE THE FOLLOWING INFORMATION: □ College internships/practicums successfully completed * Military experience including dates, listing each change in rank and title * Related volunteer experience including dates and hours worked Current (or last) Employer Madden Mental Health Center eee Address 1200 S. First Ave City Hines State IL eee eens rt “ Title Mental Health Technician | ee Number of Hours Worked Per Week 37.5 of Employment Month Year |2019 To Month | El Year [| Total Years [| Months □ Responsibility: If you supervised employees, record the number supervised in the following categories: Professional Q Technical/Para-Professional 0 Clerical 0 Administrative 0 in detail the duties you performed in this position title: Perform written and oral instructions, exhibit extensive knowledge of policy, practice, and procedure, handle confidential meet operational objectives, perform supportive unit functions, maintain files/charts, document in files/charts, data entry, unit forms, proofread documents, type reports, type patient notes, type incident reports, create various unit spreadsheets, notes during meetings, check-in clients, check-in visitors, issue visitor badge in exchange for identification, assist complex train new employees, conduct groups, conduct census, assist in conflict resolution, track stock of office supplies, assist maintain telephone records, perform as Front desk receptionist, perform as switchboard operator, operate multiple line system, answer calls, redirect calls to appropriate unit or staff member, handle complex telephone inquiries, office equipment, operate Windows Microsoft Word, Excel, and Outlook proficiently, operate AS-400 proficiently, internet proficiently, accept new incoming mail and packages, type documents, operate scanning equipment, operate fax operate copy machine, perform filing, proficiently operate desktop computers, operate standard manual and automated equipment, use work methods to complete assignments, perform other duties within the scope of the duties enumerated
for Leaving: Current employee □□□ USE - Leave Blank | Level: Amt: (Rev 4/2021) Page 4 of 14
rast Empioyer Illinois Department of Human Rights oe Street Address 100 W. Randolph St., 10-100 City Chicago State IL [> a Se □□ Position Title Office Associate - Opt. 2 SSS Average Number of Hours Worked Per Week 37.5 Dates of Employment Month 3 Year |2019 To Month b El Year {2019 Total Years [o| Months [2 Supervisory Responsibility: If you supervised employees, record the number supervised in the following categories: Manual/Trades 9 Professional Q Technical/Para-Professional 9 Clerical 0 Administrative 0 Describe in detail the duties you performed in this position title: ntake Unit: Assist Administrators and Investigative Unit, meet operational objectives, perform oral and written instruction, office support functions, type operational correspondence from format, ensure operational correspondence is properly code files for tracking on AS-400, prepare and organize new case files, case file organization and management, case file look-up and research, complete Monthly and Annual Assessment Reports for the unit, create spreadsheets on Word and Excel, track documents on multiple databases, handle telephone inquiries, handle confidential documents, log, and deliver mail, perform follow-up phone calls to clients, operate Front Desk/Switchboard, issue agency visitor badge, general office duties: perform filing, operate scanning equipment, operate fax machine, operate copy machine, assist employees daily with standard office functions, adhere to time frames, operate AS-400 proficiently, operate Microsoft 365, operate Excel Office 365, Outlook and E-Time proficiently, operate ALPHA (Access Label Process Handling operate internet proficiently, exhibit extensive knowledge of policy, practice and procedure, operate standard and automated office equipment, perform specific technical functions as prescribed by management, perform other uties within the scope of the duties enumerated above.
for Leaving: Position hiring error eee OFFICE USE - Leave Blank Level: Amt: (Rev 4/2021) Page 5 of 14
Madden Mental Health Center . Street Address 1200 S. First Ave. City Hines State IL [ eee oe □□ Position Title Mental Health Technician | oo Average Number of Hours Worked Per Week 37.5 Dates of Employment Month Ho[~] Year {2014 To Month Year |2019 Total Years [4 | Months [5 Supervisory Responsibility: If you supervised employees, record the number supervised in the following categories: Manual/Trades Professional 0 Technical/Para-Professional Clerical 0 Administrative 0 Describe in detail the duties you performed in this position title: Records: Organize charts, prepares for facility's internal and external reviews, maintain charts, abstract charts, provide information records; organize medical, psychological, and psychiatric terminology to reflect patients history; knowledge of and state regulations regarding confidentiality; knowledge of federal and state regulations regarding release of nformation; knowledge of HIPAA Laws to Release of Information and patient confidentiality; ability to analyze and interpret information records; prepare patients population statistical report: reports patient changes, reports admissions, reports notifies appropriate persons when patients are discharged; transfer charts; maintain health information records; of medical, psychological and psychiatric terminology; report bed occupancy; proficient with Microsoft 10 and below, Word, Microsoft Excel, and Outlook, operate AS-400 proficiently, handle confidential files: operate standard manual automated office equipment; troubleshoot standard manual and automated office equipment; operate scanning equipment, fax machine, operate copy machine, operate multiple line telephone system, redirect calls to appropriate unit or staff retrieve messages, excellent working relationship with hospital staff, patients and the public, use work methods to assignments, perform other duties within the scope of the duties enumeraed above.
ason for Leaving: Medical Leave —— oe OFFICE USE - Leave Blank Level: Amt: $100 (Rev 4/2021) Page 6 of 14
SIE! slviaaaen Wviental Health Center : Street Address 1200 S. First Ave. City Hines State □□ □□ Se □□ Position Title Mental Health Technician | □ Average Number of Hours Worked Per Week 37.5 Dates of Employment Month Hol] Year |2014 To Month 3 [+] Year |2019 Total Years Months [5 Supervisory Responsibility: If you supervised employees, record the number Supervised in the following categories: Manual/Trades Professional 0 Technical/Para-Professional 0 Clerical 0 Administrative 0 Describe in detail the duties you performed in this position title: Perform written and oral instructions, exhibit extensive knowledge of policy, practice, and procedure, handle confidential meet operational objectives, perform supportive unit functions, maintain files/charts, document in files/charts, perform data create unit forms, proofread documents, type reports, type patient notes, type incident reports, create various unit take notes during unit meetings, check-in clients, check-in visitors, issue visitor badge in exchange for assist complex clients, train new employees, conduct groups, conduct census, assist in conflict resolution, track of office supplies, assist walk-ins, assist visitors, maintain telephone records, front desk receptionist, switchboard operator, multiple line telephone system: answer calls, redirect calls to appropriate unit or Staff, handle complex telephone troubleshoot office equipment, Operate Microsoft Word, Excel, and Outlook proficiently, operate AS-400 proficiently, new incoming mail and packages, perform typing, operate scanning equipment, operate fax machine, operate copy perform filing, prociently operate desktop computers, operate standard and automated office equipment, use work to complete assignments, perform other duties within the scope of the duties enumerated above.
for Leaving: Better employment opportunity —_—? 0 aa OFFICE USE - Leave Blank Level: Amt: (Rev 4/2021) Page 7 of 14
I LY Ural □□ alinecxare . Street Address 13900 S. Lydia Ave. City Robbins State IL [ □□□□□□□□□□□□□□□□□□□□□□ ee Position Title Mental Health Technician
Average Number of Hours Worked Per Week 40 Dates of Employment Month holy] Year |2012 To Month Hole| Year {2014 Total Years Months [¢ Supervisory Responsibility: If you supervised employees, record the number supervised in the following categories: Manual/Trades Professional Technical/Para-Professional 0 Clerical 0 Administrative 0 Describe in detail the duties you performed in this position title: Perform oral and written instructions, exhibit extensive knowledge of policy, practice, and procedure, handle confidential files, meet operational objectives, maintain files/charts, document in files/charts, proofread documents, type reports, type patient type incident reports, check-in clients, check-in patients, issue building badges, assist complex clients, train new conduct groups, conduct census, assist in conflict resolution, track stock of office supplies, front desk receptionist, switchboard, operate multiple line telephone system: answer calls, redirect calls to appropriate unit or staff member, support unit functions, handle complex telephone inquiries, troubleshoot office equipment, accept new mail and operate fax machine, Operate copy machine, perform filing, operate desktop computers proficiently, operate standard and automated office equipment, use work methods to complete assignments, perform other duties assigned within the of the duties enumerated above.
for Leaving: Better employment opportunity a □□□□□□□□□□□□□□□□□□□□□□□□ OFFICE USE - Leave Blank Level: Amt: a pe (Rev 4/2021) Page 8 of 14
ee EEN is Veepaltment of Human Rights . Street Address 100 W. Randolph St. 10-100 City Chicago State IL [ ————$—— Eee se □□ Position Title Office Associate - Opt. 2 □ Average Number of Hours Worked Per Week 37.5 Dates of Employment Month 11 [=] Year {2006 To Month Year |2011 Total Years Months [5 Supervisory Responsibility: If you supervised employees, record the number supervised in the following categories: Manual/Trades Professional 9g Technical/Para-Professional 0 Clerical 0 Administrative 0 Describe in detail the duties you performed in this position title: Assistant; Assist administrators, assist investigations group, prepare monthly statistic reports, prepare and type legal and binding correspondence for investigations group from formats, proofread and judge final legal and binding drafts, perform case maintenance, staff time-keeping, track documents on multiple tracking system, code files AS-400 for tracking, meet operational objectives, perform oral and written instructions, exhibit extensive knowledge of policy, and procedure, perform office support functions, perform secretarial support functions, perform clerical support create calculating spreadsheets, adhere to time frames, utilize computerized systems independently, utilize various software, track documents on multiple databases, operate Microsoft Word, Excel, and Lotus Notes proficiently, operate proficiently, operate internet proficiently, Intake unit Processing; sort, log, and distribute mail, deliver mail and packages, sort and track new incoming mail, handle confidential documents and files, assist with conflict resolution, handle complex front desk receptionist, back desk receptionist, switchboard operator, Operate multiple line telephone system, direct calls appropriate staff members, log telephone records, handle complex telephone inquiries, assist walk-in clients, perform data perform typing, perform filing, operate fax machine, operate copy machine, operate standard manual and automaied office quipment, perform other duties within the Scope of the duties enumerated above.
for Leaving: State contract terminated eee OFFICE USE - Leave Blank Level: Amt: oe ee (Rev 4/2021) Page 9 of 14
NES MEIDOIS Vepariment of human Rights □ Street Address 100 W. Randolph St., 10-100 City Chicago State IL ee □□ Position Title Office Associate
Average Number of Hours Worked Per Week 37.5 Dates of Employment Month 11 [+f Year | 2006 To Month b Year |2011 Total Years [4 | Months [ 5 Supervisory Responsibility: If you supervised employees, record the number supervised in the following categories: Manual/Trades 0 Professional 9 Technical/Para-Professional 0 Clerical 0 Administrative 0 Describe in detail the duties you performed in this position title: Assist investigation groups, meet operational objectives, perform oral and written instructions, exhibit extensive of policy, practice, and procedure, handle confidential documents and files, prepare various legal and binding for investigators, type legal and binding documents from formats, proofread and judge final legal and binding create calculating spreadsheets, handle priority mail, file maintenance on computerized system, perform data entry, typing, operate fax machine, operate copy machine, operate standard manual and automated office equipment, back desk switchboard operator, front desk switchboard operator, operate multiple line telephone system, answer redirect calls to appropriate unit or staff member, log telephone records, perform follow-up calls, handle complex telephone redirect calls to appropriate staff member, assist walk-in clients, perform filing, perform copying, perform faxing, perform office duties, operate standard manual and automated office equipment, assist in the performance of specific technical as prescribed by management and supervision, operate AS-400 proficiently, operate internet proficiently, operate Word, operate Excel, operate Lotus Notes and Outlook proficiently, perform other duties within the scope of the duties numerated above.
for Leaving: State contract terminated
OFFICE USE - Leave Blank Level: Amt: (Rev 4/2021) Page 10 of 14
aes’ Minots Department of Human Rights TO Street Address 100 W. Randolph St., 10-100 City Chicago State IL [; ————— Se eee ee “AL Position Title Office Associate so Average Number of Hours Worked Per Week 37.5 Dates of Employment Month Hi Year {2006 To Month Year |2011 Total Years Months [5 Supervisory Responsibility: If you supervised employees, record the number supervised in the following categories: Manual/Trades Professional 9 Technical/Para-Professional Clerical 0 Administrative 0 Describe in detail the duties you performed in this position title: Meet operational objectives, exhibit extensive knowledge of policy, practice and procedure, perform complex oral and instructions, perform office Support functions, perform secretarial functions, perform clerical support functions, assist employee with computer functions, adhere to time frames, ensure timely outgoing correspondence, assist disabled with difficult daily tasks, read all legal and binding correspondence, read legal and binding opening statements for assist with file construction, assist with case management, perform case organization, assist disabled employees standard office functions, use computerized systems independently, operate AS-400 proficiently, operate internet operate Microsoft Word proficiently, operate Excel proficiently, and operate Outlook Proficiently, operate multiple line system, perform typing, perform filing, operate fax machine, operate copy machine, operate standard and automated equipment, troubleshoot standard and automated office equipment, use work methods to complete assignments, perform ny duties within the scope of the duties enumerated above.
for Leaving: State contract terminated ———_——..oQ— OFFICE USE - Leave Blank Level: Amt: (Rev 4/2021) Page 11 of 14
ETOYS! OU Iviorgan Unase . Street Address 431 S. Dearborn St., 10th FI. City Chicago State IL [; nt eee HEL Position Title Commercial Operations Senior Specialist I! TTT gigging Average Number of Hours Worked Per Week 40 Dates of Employment Month hol] Year | 1996 To Month Year |2005 Total Years Months [7 Supervisory Responsibility: If you supervised employees, record the number supervised in the following categories: Manual/Trades □ Professional 0 Technical/Para-Professional 0 Clerical 8 Administrative 2 Describe in detail the duties you performed in this position title: Supervisory Duties: supervised Administrative Desk, supervised processing team of 10, trained new employees, management with Quarterly High Performance Reviews, assign and distribute daily incoming documents, create teams, handle confidential files and documents, process incoming documents on multiple computerized tracking create spreadsheets, submit correspondence for processing and verification, verified completed document process, monthly reports, perform file maintenance, perform file organization, assist in conflict resolution, track stock of office handle complex phone inquiries, handle complex phone processing, investigate rejected correspondence, perform calls, proofread documents, document verifications, utilize multiple computer systems, sort documents, meet objectives, exhibit extensive knowledge policy, practice and procedure, perform complex oral and written instructions, office support functions, perform secretarial support functions, perform clerical support functions, adhere to time frames, erform data entry, operate Lotus Notes proficiently, operate Microsoft Word, Excel, and Lotus Notes proficiently, perform typing, copying, perform filing, operate fax machine, operate copy machine, operate standard manual and automated office use work methods to complete assignments, operate multiple line telephone system, perform other duties within the of the duties enumerated above.
for Leaving: Department terminated OOO eee OFFICE USE - Leave Blank | Level: Amt: (Rev 4/2021) Page 12 of 14
et VP wiorgan Unase □□□□□□ Street Address 131 §. Dearborn St., 10 Fl. City Chicago State iL | eee ae □□ Position Title Commercial Operation Senior Specialist | Average Number of Hours Worked Per Week 40 Dates of Employment Month Year |1996 To Month Year {2005 Total Years Months [7 Supervisory Responsibility: If you supervised employees, record the number Supervised in the following categories: Manual/Trades Professional Technical/Para-Professional 0 Clerical 8 Administrative 2 Describe in detail the duties you performed in this position title: Desk: operate Administrative Desk, assist manager and clerks, process corporate credit card bills, received and all new incoming documents for pertinent information, create Spreadsheets, logged new incoming correspondence multiple tracking computerized system, assign processing teams, assign and investigate incomplete documents, mis-routed documents, assist with complex customer inquiries, assign new incoming work through Lotus Notes, calculate and input department statistics daily, prepare Quarterly High Performance Reviews on databases, handle files, meet with management monthly to discuss work Progression, assist management with implementing new conversion, assist management with new database training, managed relocation project, assist with conflict resolution, rack stock of office supplies and place orders, interpret department policy, practice and procedure for internal and external operate multiple line telephone system, meet operational objectives, exhibit extensive knowledge of policy, practice procedure, perform complex oral and written instructions, perform office support functions, perform secretarial support perform clerical support functions, perform typing, perform filing, operate fax machine, operate copy machine, operate manual and automated office equipment, utilize work methods to complete assignments, perform other duties within Scope of the duties enumerated above.
OFFICE USE - Leave Blank Level: Amt: eee sees (Rev 4/2021) Page 13 of 14
* State law requires that you furnish certain information about your child support obligations at the time you are hired. The possibility of employment is not affected by a child support obligation or default in payment. * As a condition of employment, state law requires that “every male born on or after January 1, 1960, and less than 27 years old, shall submit documentation, at time of appointment, evidencing his registration with the Federal Selective Service System.” * In compliance with the state and federal constitutions, the Hlinois Human Rights Act, the U.S. Civil Rights Act, the Americans with Disabilities Act, and Section 504 of the Federal Rehabilitation Act, the Department of Central Management Services does not discriminate in employment, contracts, or any other activity. If you have a complaint, please contact the Department of Central Management Services at 217/782-7100 (voice) or the Illinois Relay Center at 800/526-0844, * Pursuant to Public Act 93-021 1, effective January 1, 2004, (20 ILCS 2630/12 (a)) and Public Act 93-091 2, effective August 12, 2004, (705 ILCS 405/5-915 (8)(a)), respectively, applicants seeking employment with the State of Illinois are not obligated to disclose an arrest or record that has been expunged or sealed, nor an expunged juvenile record. Employers may not ask if an applicant has had records or sealed. Neither Public Act applies to law enforcement agencies, the Department of Corrections, State's Attorneys or other
Central Management Services requests disclosure of information that is necessary to accomplish its obligations, primarily the statutory outlined under the Personnel Code (20 ILCS 415). Disclosure of the information requested on this form is mandatory, and failure to requested information may result in rejection of this form or delay in making a determination on eligibility or employment. Social numbers are used in the application and employment processes to identify and differentiate between candidates and/or employees. of Social Security numbers obtained through this application process will be preserved as prescribed by 5 ILCS 179 et seq. This application may be utilized as the actual test for some titles. Completed application should be submitted to the contact sted on the posting. License No. — W45200374803 State JL [=] Month/Year Expires 07/23 Ss bell pa None Non-CDL/A [] B CIC] D L J ME]! CDLIA [) B (JIENDR! xX C] N □□ OPPORTUNITY (Optional) State of Illinois is an Equal Opportunity Employer. To assist in the accomplishment of Affirmative Action goals, we invite to complete the following information. Completion of this information is not required. Check ONE box and, if applicable, the appropriate Disability box. Male Ethnicity [| [| White not of Hispanic Origin. A person having origins in any of the original peoples of Europe, North Africa or the Middle East. A G [] Black or African American not of Hispanic Origin. A person having origins in any of the black racial groups of Africa. B H [| American Indian or Alaska Native. A person having origins in any of the original peoples of North and South 5 America, including Central America, and who maintains tribal affiliation or community attachment. [| [| Asian. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, but not limited to, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine D K Islands, Thailand, and Vietnam. [ | | | Hispanic or Latino. A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish Culture or origin, regardless of race. Native Hawaiian or Other Pacific Islander. A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. P Q L | Prefer Not to Answer Z you an Individual with a Disability? Yes No [_] Prefer Not to Answer [| te of Illinois Assessment Centers, T esting and Career Counseling Information
(Rev 4/2021) Page 14 of 14
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Eee ‘ ae BLS ed YS 4 ten, * S Y 8 » ER — a Bw ne 3 BER Y 8 jen] | & = GQ : 5 Swe | Gg A 5 BS 4 aa i =... 8 eee) we □□ x 4) SSB □□ □□ = eS 65) VSS BE . Z, Sa § 8 =. “7 i ae a. ILLINOIS Bruce Rauner, Governor OOO hh □□ □□□□□□□□□□ DEPARTMENT OF CENTRAL MANAGEMENT SERVICES ——eeeeeeee™ OFFICIAL COMPETITIVE PROMOTIONAL EXAMINATION GRADE NOTICE MAINTAIN FOR YOUR RECORDS WILLIAMS, ANGELA C 414 W 16TH ST CHICAGO HGTS IL 60411 PHONE: (708) 510-6178 PROMOTIONAL EXAMINATION TITLE: POSITION CODE/OPTION: HEALTH INFORMATION ASSOC 16645 / Z GRADE: A EXAM DATE: 6/06/18 WELL QUALIFIED CURRENT AGENCY: WORK COUNTY: HUMAN SERVICES COOK Check to ensure that all personal information is correct. It is your responsibility to keep the information current with this office. Subject to the Personnel Rules, a passing grade is valid for six years, unless you retake an exam at which point the latest passing grade and date prevail. Upon pro- motion, grades remain valid only for titles with a higher maximum salary than the title to which you were promoted. Promotional grades become invalid upon Pfemination/ separation from state employment. If, however, you are again employed within four (4 calendar days, you may request that your grades be restored for competitive promotional titles at a higher level than the position in which you are employed. Information concerning vacancies and job postings can be obtained only from the employing agency. . Eligible bidders will be selected for promotion in order of their category rating with those in the "A" group being considered first. Grades may be appealed by submitting a signed and dated statement requesting to appeal the grade to CMS Examining & Counseling Division at the address listed below. Please include a copy with a daytime phone number, This grade must be appealed within ninety (90) days from the exam date in order to be considered a valid appeal. Appeals will be considered received on the date they are Stamped received by the CMS Examining & Counseling Division. Untimely appeals will not be considered. A grade of A - Well Qualified, B - Qualified, C - Minimally Qualified, indicates that a candidate meets the general standards required to work in this job title. However, an individual position within a job title may require specialized knowledge, skills and abilities, which a candidate must possess to be considered for the position. Examination results are not transferable between the competitive promotional and open competitive programs. You may wish to make copies of this grade notice to provide to agencies that require test grade verification. CMS 60(B) Rev 05/07 EQUAL OPPORTUNITY EMPLOYER 06/08/18 ILLINOIS Governor JB Pritzker DEPARTMENT OF CENTRAL MANAGEMENT SERVICES eee OFFICIAL COMPETITIVE PROMOTIONAL EXAMINATION GRADE NOTICE MAINTAIN FOR YOUR RECORDS WILLIAMS, ANGELA C 68 W 144TH ST APT D RIVERDALE IL 60827 PHONE: (708) 510-6178 EMAIL: ACWILLIAMSACW@YAHOO.COM PROMOTIONAL EXAMINATION TITLE: POSITION CODE/OPTION: OFFICE ASSOCIATE 30015 / Z1 GENERAL GRADE: A EXAM DATE: 7/02/21 WELL QUALIFIED CURRENT AGENCY: WORK COUNTY: HUMAN SERVICES COOK Check to ensure that all personal information is correct. It is your responsibility to keep the information current with this office. Subject to the Personnel Rules, a passing grade is valid for six years, unless you retake an exam at which point the latest grade and date prevail. pon promotion, grades remain valid only for titles with a higher maximum salary than the title o which you were promoted. Promotional grades become invalid upon □□□□□□□□□□□□□□□□□□□□□□ from state employment. If, however, you are again employed within four (4 ,calendar days, you may request that your grades be restored for competitive promotional titles at a higher level than the position in which you are employed. Information concerning vacancies and job postings can be obtained only from the employing agency. . Eligible. bidders will be selected for promotion in order of their category rating with those in the "A" group being considered first. Grades may be appealed by submitting an email to CMS.ExaminingAppeals@illinois.gov and contain the ol lowing: 1. The bid ID# associated with the posting in the subject line of the email. 2. The body of the email must provide a statement requesting an appeal accompanied by any supporting documents. . . 3. The position code/option, exam date, grade listed on the grade notice along with a daytime phone number. □ This grade must be appealed within ninety (90) days from the exam date to be considered a valid appeal. Appea s will be considered received on the date received by the CMS Examining and Counseling email account. Untimely appeals will not be considered. A grade of A — Well Qualified, B - Qualified, C - Minimally Qualified, indicates that a candidate meets the general standards required to work in this job title. However, an individual position within a job title may require specialized knowledge, skills and abilities, which a candidate must possess to be considered for the position. Examination results are not transferable between the competitive promotional and open competitive programs. You may wish to make copies of this grade notice to provide to agencies that require test grade verification. CMS 60(B) Rev 11/2019 EQUAL OPPORTUNITY EMPLOYER 07/12/21 A® (Rev. 02/14) Subpoena to Produce Documents, Information, or Objects or to Permit Inspection of Premises in a Civil Action UNITED STATES DISTRICT COURT for the 6 el laws Plaintiff J □□ ff □ v. ) Civil Action No. | 4 LI-CN-OOUZ- i yf } fd f ) Marta) Coffer ) Defendant ) SUBPOENA TO PRODUCE DOCUMENTS, INFORMATION, OR OBJECTS OR TO PERMIT INSPECTION OF PREMISES IN A CIVIL ACTION To: j ; : | fi {_ □□□ □ Madden Cental Heal Cater, Labor Re latipad’-Huwianl Leasrupees (Name of person'to whom this subpoena is directed) O Production: YOU ARE COMMANDED to produce at the time, date, and place set forth below the following documents, electronically stored information, or objects, and to permit inspection, copying, testing, or sampling of the material: ALL viene Cwints The following provisions of Fed. R. Civ. P. 45 are attached — Rule 45(c), relating to the place of compliance; 45(d), relating to your protection as a person subject to a subpoena; and Rule 45(e) and (g), relating to your duty to to this subpoena and the potential consequences of not doing so. wcll 4 21 _ £014 40 0 \aoa\ CLERK OF COURT ay, 6 OR Signature of Clerk or Deputy Clerk Attorney's signature name, address, e-mail address, and telephone number of the attorney representing (name of party) Lav Id □□□ a Pec vem, f | ¢ . lp 4 (p. [4 if N Rivervale TL lei! j , who issues or requests this subpoena, are: / □□ ‘ @ Bi Vip. pn { U9 StD-tal79 Notice to the person who issues or requests this subpoena subpoena commands the production of documents, electronically stored information, or tangible things or the of premises before trial, a notice and a copy of the subpoena must be served on each party in this case before is served on the person to whom if is directed. Fed. R. Civ. P. 45(a)(4). Af (Rev. 02/14) Subpoena to Produce Documents, Information, or Objects or to Permit Inspection of Premises in a Civil Action (Page 2) □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Civil Action No. PROOF OF SERVICE (This section should not be filed with the court unless required by Fed. R. Civ. P. 45.) [ received this subpoena for (name of individual and title, if any) on (date) : C1 I served the subpoena by delivering a copy to the named person as follows: f lacs | PL [ f [ef Ha □ on (date) ; or returned the subpoena unexecuted because: Unless the subpoena was issued on behalf of the United States, or one of its officers or agents, I have also tendered to the witness the fees for one day’s attendance, and the mileage allowed by law, in the amount of $ □□ My fees are $ for travel and $ for services, for a total of $ 0.00 I declare under penalty of perjury that this information is true. a f □ ' ‘j A fi ingly lz lity □ Server's signature wd hf D ; cf) Lagela CMa, Pro Se brtgand Printed vame and title f “ys : □ 63 WAIMESE, Riverdale, LZ (26327 rver's address information regarding attempted service, etc.:— _ _ — — □□□ UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS ) ) Case Number: Plaintiff ) ) Judge: v. ) ) Magistrate Judge: ) Defendant )
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Cite This Page — Counsel Stack
Williams v. Illinois Department of Human Services, Counsel Stack Legal Research, https://law.counselstack.com/opinion/williams-v-illinois-department-of-human-services-ilnd-2022.