{"id":3207,"date":"2026-04-07T09:49:15","date_gmt":"2026-04-07T09:49:15","guid":{"rendered":"https:\/\/www.jameshawkinsaplc.com\/?page_id=3207"},"modified":"2026-07-23T07:44:25","modified_gmt":"2026-07-23T07:44:25","slug":"wrongful-termination-intake-form","status":"publish","type":"page","link":"https:\/\/www.jameshawkinsaplc.com\/es\/wrongful-termination-intake-form\/","title":{"rendered":"Formulario de admisi\u00f3n por despido injustificado"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3207\" class=\"elementor elementor-3207\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-29392d78 pg-bnr-txt e-flex e-con-boxed e-con e-parent\" data-id=\"29392d78\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e43856e e-flex e-con-boxed e-con e-child\" data-id=\"e43856e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62bcbc4d elementor-align-center elementor-widget elementor-widget-breadcrumbs\" data-id=\"62bcbc4d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/www.jameshawkinsaplc.com\/\">Home<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d44e8bf e-con-full e-flex e-con e-parent\" data-id=\"d44e8bf\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-043baa2 e-flex e-con-boxed e-con e-child\" data-id=\"043baa2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-64683c5 e-con-full e-flex e-con e-child\" data-id=\"64683c5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-afd89ce elementor-widget elementor-widget-heading\" data-id=\"afd89ce\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Wrongful Termination Intake Form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2446215 elementor-widget elementor-widget-text-editor\" data-id=\"2446215\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>If you believe you were wrongfully terminated from your job, please fill out the form below to get started with our team. We will review your information, evaluate your case, and reach out to explain how we can help and guide you through your next steps.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8d41bfb elementor-widget elementor-widget-text-editor\" data-id=\"8d41bfb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Please make all fields with * in front of them required<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-adb6b0b elementor-button-align-center cnct-frm wage elementor-widget elementor-widget-form\" data-id=\"adb6b0b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Contact Form\" aria-label=\"Contact Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"3207\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"adb6b0b\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"James Hawkins Law\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6ad6375 elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6ad6375]\" id=\"form-field-field_6ad6375\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*First Name:\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4623ce4 elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4623ce4]\" id=\"form-field-field_4623ce4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*Last Name:\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_11ec1c1 elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_11ec1c1]\" id=\"form-field-field_11ec1c1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*Email Address:\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_9ec32da elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_9ec32da]\" id=\"form-field-field_9ec32da\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*Phone Number:\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8ef7999 elementor-col-100\">\n\t\t\t\t\t*Address\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_aebcbc3 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_aebcbc3]\" id=\"form-field-field_aebcbc3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*City\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1f3c8c1 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_1f3c8c1]\" id=\"form-field-field_1f3c8c1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*State\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7cddabc elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7cddabc]\" id=\"form-field-field_7cddabc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*Zip Code\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a9a5342 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a9a5342]\" id=\"form-field-field_a9a5342\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*Employer Name \/ Company:\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_77d7d99 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_77d7d99\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t*Have you been terminated from the company?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"yes \" id=\"form-field-field_77d7d99-0\" name=\"form_fields[field_77d7d99]\"> <label for=\"form-field-field_77d7d99-0\">yes <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"no\" id=\"form-field-field_77d7d99-1\" name=\"form_fields[field_77d7d99]\"> <label for=\"form-field-field_77d7d99-1\">no<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a259055 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a259055]\" id=\"form-field-field_a259055\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*If terminated, please state the REASON GIVEN for your termination (if any):\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3746021 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3746021]\" id=\"form-field-field_3746021\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*If terminated, please state the REASON YOU BELIEVE you were actually terminated:\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4fed528 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4fed528]\" id=\"form-field-field_4fed528\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*Dates of Employment (start and end dates):\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_efb9aea elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_efb9aea\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t*Employment Type\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Full-Time\" id=\"form-field-field_efb9aea-0\" name=\"form_fields[field_efb9aea]\"> <label for=\"form-field-field_efb9aea-0\">Full-Time<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Part-Time\" id=\"form-field-field_efb9aea-1\" name=\"form_fields[field_efb9aea]\"> <label for=\"form-field-field_efb9aea-1\">Part-Time<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Contract\" id=\"form-field-field_efb9aea-2\" name=\"form_fields[field_efb9aea]\"> <label for=\"form-field-field_efb9aea-2\">Contract<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Temp\" id=\"form-field-field_efb9aea-3\" name=\"form_fields[field_efb9aea]\"> <label for=\"form-field-field_efb9aea-3\">Temp<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Other\" id=\"form-field-field_efb9aea-4\" name=\"form_fields[field_efb9aea]\"> <label for=\"form-field-field_efb9aea-4\">Other<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_d8c5f0e elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d8c5f0e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t*Have you experienced any of the following:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Retaliation (for whistleblowing, reporting discrimination, etc.)\" id=\"form-field-field_d8c5f0e-0\" name=\"form_fields[field_d8c5f0e]\"> <label for=\"form-field-field_d8c5f0e-0\">Retaliation (for whistleblowing, reporting discrimination, etc.)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Discrimination (race, gender, age, disability, religion, etc.)\" id=\"form-field-field_d8c5f0e-1\" name=\"form_fields[field_d8c5f0e]\"> <label for=\"form-field-field_d8c5f0e-1\">Discrimination (race, gender, age, disability, religion, etc.)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Breach of Contract or Company Policy\" id=\"form-field-field_d8c5f0e-2\" name=\"form_fields[field_d8c5f0e]\"> <label for=\"form-field-field_d8c5f0e-2\">Breach of Contract or Company Policy<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Constructive Termination (forced resignation)\" id=\"form-field-field_d8c5f0e-3\" name=\"form_fields[field_d8c5f0e]\"> <label for=\"form-field-field_d8c5f0e-3\">Constructive Termination (forced resignation)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Other (please describe)\" id=\"form-field-field_d8c5f0e-4\" name=\"form_fields[field_d8c5f0e]\"> <label for=\"form-field-field_d8c5f0e-4\">Other (please describe)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"None\" id=\"form-field-field_d8c5f0e-5\" name=\"form_fields[field_d8c5f0e]\"> <label for=\"form-field-field_d8c5f0e-5\">None<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b6db343 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_b6db343]\" id=\"form-field-field_b6db343\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"If other, please specify: \">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_70e558d elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_70e558d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWere there prior warnings, write-ups, or disciplinary actions? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_70e558d-0\" name=\"form_fields[field_70e558d]\"> <label for=\"form-field-field_70e558d-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_70e558d-1\" name=\"form_fields[field_70e558d]\"> <label for=\"form-field-field_70e558d-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_52fbe53 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_52fbe53\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you aware of other employees who experienced similar termination issues?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_52fbe53-0\" name=\"form_fields[field_52fbe53]\"> <label for=\"form-field-field_52fbe53-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_52fbe53-1\" name=\"form_fields[field_52fbe53]\"> <label for=\"form-field-field_52fbe53-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frm_wrng elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frm_wrng\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t<strong>*WARNING:<\/strong> 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\u2019s policy on client file retention. I have read and agree to the above warning statement (Please indicate that you have by selecting \u201cyes\u201d).\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-frm_wrng-0\" name=\"form_fields[frm_wrng]\"> <label for=\"form-field-frm_wrng-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-frm_wrng-1\" name=\"form_fields[frm_wrng]\"> <label for=\"form-field-frm_wrng-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit Your Information<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Wrongful Termination Intake Form If you believe you were wrongfully terminated from your job, please fill out the form below to get started with our team. We will review your information, evaluate your case, and reach out to explain how we can help and guide you through your next steps. Please make all fields with [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3207","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Wrongful Termination Intake Form - James Hawkins Law<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Wrongful Termination Intake Form - James Hawkins Law\" \/>\n<meta property=\"og:description\" content=\"Wrongful Termination Intake Form If you believe you were wrongfully terminated from your job, please fill out the form below to get started with our team. We will review your information, evaluate your case, and reach out to explain how we can help and guide you through your next steps. 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