Free Affidavit - District Court of Connecticut - Connecticut


File Size: 64.7 kB
Pages: 2
Date: January 13, 2004
File Format: PDF
State: Connecticut
Category: District Court of Connecticut
Author: unknown
Word Count: 348 Words, 2,130 Characters
Page Size: 612.48 x 1008 pts
URL

https://www.findforms.com/pdf_files/ctd/9687/72.pdf

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/,/” Case 3:00-cv-00656-SRU Document 72 Filed 01/12/2004 Page 1 0f 2 1
/ /11/ `
UNITED STATES DISTRICT COURT F 11... E. D
1,////1 DISTRICT OF CONNECTICUT 1
1 Zllllll JAN I2 P l= H8 1
. MARSHALL CHAMBERS, } ,_ I 1,.,.
I Plaintiff } us DlSTRlQ_1m%»,U(;t1l‘~ ~ 1
v. } CIVIL No.: 3:00 C\B865iS`R¢l5° l—~*“* l
. } 1
1 I ANTHONY J. PRINCIPI, } January 12, 2004
Secretary, U.S. Department of Veterans Affairs, } 1
Defendant } 1
1
1 AFFIDAVIT 1
l, Marshall Chambers, hereinafter called "Plaintiff," being duly deposed and sworn do state as
follows:
1. l am over the age of eighteen (18) years and believe in the obligations of an oath. 1
1 2. I ain personally familiar with facts and circumstances giving rise to instant lawsuit.
3. I was employed by Defendant as a Secretary from 1992 to 1997. 1
4. On or about March 12, 1997, l nled an EE0 Complaint with Edgar Colon, an EE0
Counselor with the Defendant..
5. According to my personal knowledge, Edgar Colon, EE0 Counselor, notihed both
of my immediate supervisors, Jeffrey S. Lustman, M.D., Assistant Chief of Staff;
1 and Bernadette R. Oulton, R.N., M.S.N., Chief, Hospital Education Service, within
forty-eight (48) hours of his receiving my EE0 complaint.
6. Mr. Colon interviewed both Dr. Lustrnan and Ms. Oulton within the federal,
1 statutory time limit in accordance with 29 CFR 1614.
i 7. l had also earlier notined my supervisor(s) of my intention to file a formal EEO
complaint.
1 8. Beginning eight days after l hled my hrst EE0 complaint, with an EE0 Counselor, l 1
was subjected to repeated disciplinary actions.

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a Case 3:00-cv-00656-SRU Document 72 Filed O1/12/2004 Page 2 of 2
9. l make the foregoing statements of my own free will and volition, and they are true
and correct according to my best knowle
MARSHALL CHAMBERS l
i¤.o. Box 8643 l
NEW HAVEN, CT 06531 -0643 J
Subscribed and sworn to before me this 12*** day o an ary 2004. ? N
4/4/l‘~cv»~`*A7 Sis`,.
. LEB M. PlLGRlM, Esq.
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