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Employee Intake Form
Your Name
Your Email
Telephone number that we can reach you at
Your Employer
Your Job Title
Do you belong to a union?
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N/A
We can only assist non-unionized employees. Please consult your local union office for guidance.
Annual compensation
(include ALL elements of compensation, such as benefits, car allowance, bonus, etc)
Years of service with your employer
Your Age
Have you been terminated from your employment?
Yes
No
N/A
Please describe the circumstances of your termination:
Do you think you might be fired in the near future?
Yes
No
N/A
Please describe why
Has your employer made your employment intolerable
(for instance, by docking your pay, harassing you, or reducing your authority)?
Yes
No
N/A
Please explain how your employment has become intolerable
Did you quit your job as a result of an action that your employer has taken against you?
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No
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Please explain the circumstances that led to your departure
If none of the circumstances described above apply to your specific situation, please describe the nature of your inquiry.
Did you sign an Employment Agreement?
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Please attach a copy of your signed agreement.
I do not wish to attach a copy of the agreement.
How did you hear about us?
Submitting this form does not create a solicitor-client relationship and does not constitute client engagement. We must review the information you provide, in order to determine if we can take your case. If we are able to assist you, a representative of Hyde HR Law will contact you to schedule a consultation.
