IL Victims Economic Security and Safety Act VESSA Complainant Contact Sheet 2016-2025 free printable template
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VICTIMS ECONOMIC SECURITY
AND SAFETY ACT (VERSA)
COMPLAINANT CONTACT SHEET
Illinois Department of Labor
160 North Basally Street, Suite #C1300
Chicago, Illinois 60601
(312) 7936797PLEASE PRINT OR
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How to fill out IL Victims Economic Security and Safety
How to fill out IL Victims Economic Security and Safety Act
01
Obtain the IL Victims Economic Security and Safety Act (VESSA) form from your employer or the appropriate state agency.
02
Read the instructions carefully to understand the eligibility criteria for benefits.
03
Fill out the personal information section, including your name, address, and contact information.
04
Provide details about the incidents that qualify for VESSA, including dates and types of violence or threats experienced.
05
Attach any necessary documentation that supports your claim, such as police reports or medical records.
06
Submit the completed form and all supporting documents to your employer's HR department or the designated state office.
07
Keep a copy of your submission for your records and follow up to confirm receipt.
Who needs IL Victims Economic Security and Safety Act?
01
Survivors of domestic violence, sexual assault, stalking, or any other form of violent crime.
02
Individuals who require job protection or benefits due to safety concerns related to their situation.
03
Employees seeking to maintain their economic security while dealing with the repercussions of violence.
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What is IL Victims Economic Security and Safety Act?
The IL Victims Economic Security and Safety Act is a law in Illinois that provides job protection and economic security to victims of domestic violence, sexual assault, stalking, or gender violence.
Who is required to file IL Victims Economic Security and Safety Act?
Employees who are victims of domestic violence, sexual assault, stalking, or gender violence may be required to file under the IL Victims Economic Security and Safety Act to request rights and protections associated with their status.
How to fill out IL Victims Economic Security and Safety Act?
To fill out the IL Victims Economic Security and Safety Act, an employee must complete the appropriate forms provided by their employer, detailing their need for time off or workplace accommodations due to victimization.
What is the purpose of IL Victims Economic Security and Safety Act?
The purpose of the IL Victims Economic Security and Safety Act is to ensure that victims of violence have job security and access to necessary resources to seek assistance and recover from their experiences.
What information must be reported on IL Victims Economic Security and Safety Act?
The information that must be reported on the IL Victims Economic Security and Safety Act includes details about the employee's victimization, the type of leave or accommodation requested, and relevant documentation supporting their request.
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