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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.

Step 1 of 3

What issue are you facing with your workplace? *

Are you still working for this employer? * Yes No

What is the name of your employer? *

Type of business? *

How many people work for the business? *

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

Is the employer still in business? * Yes No

Are you currently working with an attorney? * Yes No

First Name *

Last Name *

Email *

Phone Number *

Zip Code *

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