Case Evaluation

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Name *

Email *

Phone *

Fax

Address *

Employer Name *

Number of Employees *

Do any of the following apply to you? *

Why do you think your employer discriminated? *

Do you still work for this employer? *

What was the first date of the discrimination? *

What was the last date of the discrimination? *

Did you report the discrimination to your employer? *

Have you filed a Charge of Discrimination with the EEOC? *

Have you received a Notice of Right to Sue from the EEOC? *

Received a Notice of Right to Sue, what date was it sent? *

What Happened? *

Disclaimer *

I understand that submitting this form does not create an attorney-client relationship. I also understand that submitting this form does not create any duty on the part of Fonteneau and Arnold's attorneys to represent me or to give me any advice. I also understand that cases investigated by the EEOC must be reported to that agency within six months after they occur. If the EEOC issues a Notice of Right to Sue, it must be filed within 90 days after it is issued. I am solely responsible for ensuring that these deadlines are met unless and until I sign an employment contract with a lawyer.

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Email: leads@theworkersfirm.com

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Friday: 8:30 – 12:00

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Case Evaluation

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