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Contact Us

Please complete all contact information and as much of the relevant data as possible. You may use the summary box to outline specific case related information. Thank you.

  • Have you been terminated?

    Yes No

    If yes, Termination Date:

  • Are you in a Union?

    Yes No

    If yes, did you contact your union for assistance with this matter?

    Yes No
  • Discrimination, Wrongful Termination, Harassment, Unpaid Wages/Benefits, Other:

  • Do you think that you were not paid all the wages and/or benefits to which you are entitled?

  • ** Please provide a brief summary of your case below. The details should be in chronological order, as much as possible. We will request additional information if needed. **