Wage and Hour Class Action Form

*Are you still employed with the company?

yes no

*Employment Type

*Pay Type

Hourly Salary Commission Other

*Did you work overtime?

Yes No

*Did you work before/after scheduled hours without pay?

Yes No

*Meal & Rest Breaks: Were breaks missed or unpaid?

Yes No

*Type of Violation(s)

*Any Prior Complaints to Employer?

Yes No

*Have you previously participated in any class action lawsuits with this employer?

Yes No

*Are you aware of other employees with similar claims?

Yes No Unsure

*Have you filed any claims or complaints with government agencies?

Yes No

*Are there any ongoing or prior disputes with the employer?

Yes No Unsure

*Please provide a description of the situation you need help with (the more info you provide here, the more the attorney has to determine if he can help you with your situation):

*WARNING: By submitting information through this intake form or by email or other communication to this web site, you agree that the communication does NOT create a lawyer-client relationship between you and the law firm and its lawyers and that any information submitted is not privileged. You further acknowledge that unless the law firm subsequently enters into a lawyer-client relationship with you, any information you provide will not be treated as privileged, and any such information will not be preserved or maintained by this law firm, nor will it be subject to this law firm’s policy on client file retention. I have read and agree to the above warning statement (Please indicate that you have by selecting “yes”).

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Wage and Hour Class Action Form

Wage and Hour Class Action Contact Form:

Definitely recommend to family and friends so why not to my google family.

-Steven Winter

Nice people and they found things apart from wrongful termination

-Carlos Niktkolwiek

Like all cases it took time but I am very happy with how everything turned out

-Eric Chabez

California

Washington

California

Washington

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