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Employment Attorney Northern California

Employment Law Client Questionnaire

Please bear in mind, that if you have time deadlines (or statute of limitations) that are quickly approaching, we cannot guarantee that we will respond in time for us to assist you in filing a lawsuit. You should take immediate action.

Note: Fields marked with an asterisk ( * ) are required.

      YOUR CONTACT INFORMATION
    • Yellow PagesInternet/Search EngineFindlawOther
    • EMPLOYMENT INFORMATION
    • TerminatedResignedStill Employed
    • YesNo
    • RaceGender / SexAge (over 40)Sexual HarassmentNational OriginSexual OrientationReligionPregnancyDisability / Medical ConditionMarital StatusOther
    • YesNo
      RaceGender / SexAge (over 40)Sexual HarassmentNational OriginSexual OrientationReligionPregnancyDisability / Medical ConditionMarital StatusOther
    • YesNo
      YesNo
    • YesNo
      In writingVerbally
    • SupervisorManagerHuman ResourcesDirectorPresidentOutside government agencyOther
    • InvestigationRetaliationDisciplinary action against youNo ActionDemotionLow performance reviewOther

    • This Year:    BelowMeetsExceeds
      1 Year Ago: BelowMeetsExceeds
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      5 Year Ago: BelowMeetsExceeds
    • PERSONAL INFORMATION
    • Emergency medicalGeneral medicalPsychologicalPsychiatricOther CounselingNone
    • Department of Fair Employment & Housing (DFEH)Equal Employment Oppoirtunity Commission (EEOC)Other
    • YesNo
    • YesNo
       

    Please bear in mind, that if you have time deadlines (or statute of limitations) that are quickly approaching, we cannot guarantee that we will respond in time for us to assist you in filing a lawsuit. You should take immediate action.