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Have you been treated unfairly in the workplace? Fill out the free employment case evaluation form below to see how we can help.

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– Step 1 of 3

What issue are you facing with your workplace?

• Discrimination
• Harassment
• Unpaid Overtime
• Paycheck Issue
• Wrongful Termination
• Other

Next

Are you still working for this employer? *

• Yes
• No

What is the name of your employer? *

Type of business? *– Please Select One –Sole Proprietor (Mom and Pop)PartnershipFranchisePrivate CompanyPublic CorporationGovernment Agency

How many people work for the business? *– Please Select One –1-56-2021-50101-500501-10001000+

Are you a member of a Labor Union? *

• Yes
• No

How are you paid? *

• Hourly
• Salary

Have you worked more than 40 hours per week and NOT received overtime pay? *

• Yes
• No

Are you a Supervisor or Manager? *

• Yes
• No

Do you make less than $455 per week ($24,000 per year)? *

• Yes
• No

Is your salary ever reduced or changed based on your work hours? *

• Yes
• No

Is your employer withholding your paycheck? *

• Yes
• No

How many employees does the company have? *– Please Select One –1-1011-50More than 50

Is the employer still in business? *

• Yes
• No

Are you currently working with an attorney? *

• Yes
• No

Next

First Name *

Last Name *

Email *

Phone Number *

Zip Code *

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