Confidential Case Inquiry

Submit a Confidential Case Inquiry

Share the details of your situation. Every submission is reviewed by an attorney.

Do not fill this out if you are human:

First and Last Name

Phone Number

Email Address

Date of Birth

City and State of Residence

Employer Name

Employment Start Date

Employment End Date (leave blank if still employed)

Most Recent Position Title

Annual Salary or Hourly Wage

First and Last Name of Supervisor

Supervisor Position Title

Were you offered a separation or severance agreement?

Yes No Not sure

Were you terminated in a reorganization or reduction in force (RIF)?

Yes No Not applicable – still employed

Summary of the employer’s stated reason for the termination or other adverse action

Summary of why you disagree with the employer’s characterization of the termination or other adverse action

Did you submit any complaints or report any unlawful conduct (internally or to a government agency)?

Yes No

Any other information you would like to share with the firm

Using the intake assistant or submitting an inquiry does not create an attorney–client relationship. Do not consider the firm your counsel unless a written engagement agreement is signed. Strict filing deadlines apply to employment claims, and submitting information here does not stop or extend any deadline. Information submitted may be used to check for conflicts of interest.

I have read and understand the disclaimer above.