Case 2:06-cv-00748-JLR Document 38. Filed 04/12/2007 Page S REDACTED Here is the claim that was sent to UC Express. Please let me kno need anything else. Thank you Original Message- From: Bradley, Devon Sent: Friday, July 15, 2005 3:42 PM To: clms2573@talx.com; Hackett, Laura Anny Pink, Cheryl R; Wilso jrauch@teksystems.com; Dea, Sandra Subject: RE: Reply By: 7/15/2005 Unemployment Claim on MARIYAM A SSN: HE-#d- Inhouse: A256 Original Message----- From: clms2573@talx.com [mailto:clms2573@talx.com] Sent: Tuesday, July 12, 2005 6:59 aM To: Hackett, Laura Ann; Pink, Cheryl R; Bradley, Devon; Wilson, jrauch@teksystems.com; Dea, Sandra Subject: Reply By: 7/15/2005 Unemployment Claim on MARIYAM AKMAL ###-##-3587 Inhouse: A256 Please send your response to TALX UC eXpress no later than 07/15/05 by 12:00 PM (CT) in order to meet the state enforced de A timely response to this request is critical to controlling you unemployment cost. Should you have any questions or concerns, p feel Free to contact your TALX UC eXpress representative. To: TEKSYSTEMS, INC. Ms Laura Hackett a Ph: (425) 637-9700 & Fa; (425) 637-9600 From: Erin Doughty TALX UC eXpress Phone: (314) 997-2100 2573Case 2:06-cv-00748-JLR Document 38 _ Filed 04/12/2007 Pag Separation’ Information on fie \Discharge - Other Please enter or verify the employment dates noted below: First Day Worked? 04/18/2005 Last Day Worked? 05/08/2005 The following details will assist us in offering a response tc claim: Please explain the final incident leading to dismissal in detail, including what happened, when, if there were any admissions or witnesses. The project was terminated by the client. The client no longe her skill set. Who discharged him/her? (Name and title)The Client~ Cingule scharg fe: ( cu. Please list any progressive disciplinary steps taken prior 1 his/her dismissal. d What is the company policy regarding the reason for dismiss: and how he/she was made aware? of via ne/she Fite a grievance? The following questions are specific to your industry: What was the client name and location of the most recent assignment? Cingular- Redmond washington Was the most recent assignment completed?. YES/NO If no, ae please explain: (eS Would the employee be considered for future assignments? YES/NO If no, please explain: yes Has the employer/employee relationship been severed? YES/N If no, please explain: No, Other recruiters have made contact with her since her dis Has he/she maintained contact with vour agency, followingCase 2:06-cv-00748-JLR Document 38 Filed 04/12/2007 Ps Have there been any job refusals since the last assignment ended that have not been reported? If so, please supply all details. (Start/end dates, duration, rate of pay, shift, jo title, reason for refusal, who offered, and how was the offe J nace.} on what date, was the job offer refused? Please use this additional space as needed for a thorough re Additional comments: If he/she received the following pay upon separation, it ma} disqualifying: vacation Pay: Indicate dollar amount, date paid, and days/nours the payment covers. Wages in Lieu of Notice: Indicate dollar amount, date pa: and days/hours the payment covers. Holiday Pay: Indicate dollar amount, date paid, and days/hours the payment covers. Worker's Compensation Pay: Indicate dollar amount, date | and days/hours the payment covers. Sick Pay: Indicate dollar amount, date paid, and days/ho the payment covers. Pension Pay: Indicate dollar amount, date payment was ma (regular payments, or lump sum), and the time period it was applied. Back Pay: Indicate dollar amount, date paid, how the pay was made (to the state or claimant), and days/nours payment covers. Bonus Pay: Indicate dollar amount, date paid, and days/h -payment covers. Salary Continuation: Indicate dollar amount, date paid, @ays/hours payment covers. Name of person completing form: Devon Washington Title of person completing form: CSA