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First Name
Last Name
Email
How did you hear about us?
Were you referred to a specific attorney in our office? If so, who?
Who is/was your employer?
What is/was your position?
How long have you been employed/were you employed in that position?
Were/are you a memeber of a union? If yes, which union?
Have you discussed this issue with your union?
Describe the issues you are having.
If you were terminated from employment, what reasons were you given by the company for your termination?
What are the reasons you believe you were terminated?
If a pay-related issue, like uncompensated overtime, missed rest periods, or missed meal periods, please describe the circumstances.
If other employees at your job are having the same issue(s) or problem(s), how many employees in total are impacted in this way?
What outcome do you hope to obtain?