Your position and general job duties/responsibilities
Please enter requested information.
Are you still employed there?
Yes
No
* Why are you are seeking legal representation. Explain in DETAIL what happened. If you were fired, explain why YOU think your employer took the action it did. Upload relevant documents at the end of this form.
Were you offered a severance?
Do you have a written employment contract?
Have you filed any complaints or charges with any government agencies?
Yes
No
Are there any deadlines of which you are aware? (e.g. 90-day right to sue letter; fact finding conference, etc.)
How much were you paid?
Were you paid hourly or salary?
Hourly
Salary
Were you injured at work? If so, do you have a workers compensation lawyer?
How many hours did you typically work each week?
If you worked over 40 hours in a week, did you get paid time and a half?
Have you ever been paid additional amounts beyond your regular salary or hourly wage (e.g. shift differentials, safety pay, commissions, hazard pay)? If yes, please describe what additional pay you received and how often.
Does your employer use any biometric data (scans of your finger, face, eyes, voice, or any other body part) for any purpose? If yes please describe.
Are you aware of anything illegal occurring at your job (for example, overbilling the government, lying to government?) If yes please describe.
* If we are not able to help you, is it OK if we share your information with another law firm who may be able to help?
Yes
No
Please make a selection.
