How did you hear about us?
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What type of workplace dispute are you experiencing?
Wrongful Termination
Discrimination
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Sexual Harassment
Other
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Who is your employer?
What is/was your position?
What is/was your annual income?
Did you (or do you) have a formal employment contract, or were (or are) you employed without a contract (at-will)?
At Will
Contract
Upload your employment contract.
Did you have an agreement to resolve disputes through a neutral third party at your job?
No
Yes
Please select any negative action or treatment you experienced.
Termination
Suspension
Demotion
Discipline
Unpaid Leave
Investigation
Other
Could you please describe the negative actions or treatment you have experienced or are currently experiencing?
Did any economic damages occur as a result of the negative action?
Yes
No
What is the estimated economic loss?
Explain, if needed.
Did any non-economic/emotional damage occur as a result of the negative action?
Yes
No
What kind of emotional distress or harm have you experienced?
Have you sought any medical treatment for the emotional distress you've experienced?
Please upload any relevant documents.
Please provide any additional information you believe to be relevant to your matter.
